慢性缩窄性心包炎的手术治疗

English | PDF EPUB (True) | 2023 | 420 Pages | ISBN : 9819958075 | 163.4 MB

This book provides comprehensive information and clarity on all aspects of diagnosing and managing constrictive pericarditis. The operative procedures for constrictive pericarditis are presented in detail with technical tips supplemented by surgical videos. Further, it explores and guides on issues with mixed opinions like the role of corticosteroids, timing of the operation, choice of the operative procedure, terminologies to describe the extent of decortication, and the requirement of cardiopulmonary bypass. Despite experience spanning over 100 years, there is no fool-proof formula in the published literature that can be used in selecting an optimal surgical approach for a given patient. The terms "radical", "total", "extensive", "complete", "subtotal", "adequate", "near-total" and "partial" pericardiectomy also have been variably used in the literature, often without a precise definition of the limits of pericardial resection.

Providing an update on the latest advancements and long-term results of pericardiectomy appeals to all clinicians managing constrictive pericarditis. For the trainees, it offers insights into surgical techniques' relevant anatomy and foundation. The book will be beneficial to MBBS, MD, MS, M.Ch (CTVS), DM (Cardiology), Diplomate of National Board (Cardiology and CTVS), FRCS, FRACS, MD (USA, Canada, and in all developing and developed countries).

这本书提供了关于所有方面的心包缩窄症诊断和管理的全面信息和清晰度。心包缩窄症的手术程序详细呈现，并由技术提示补充了手术视频。此外，它探讨并指导了像皮质类固醇的作用、手术时机的选择、手术程序的选择、描述去神经程度用语以及心脏-肺循环 bypass 的需求等问题。 尽管已有超过100年以上的临床经验，但出版文献中并没有一种适用于给定患者选择最佳外科方法的万无一失公式。心包切除术也广泛使用了诸如“彻底”、“总”、“广泛”、“完全”、“半总”、“足够”、“近乎总”的等术语，通常没有明确界定心包切除手术范围的界限。 提供关于心包切除术后最新进展和长期结果的信息对所有管理心包缩窄症的临床医生来说都是有吸引力的。对于学员来说，它提供了与相关解剖学和技术有关的外科技术见解基础。这本书将对MBBS、MD、MS、M.Ch (CTVS)、DM (心脏病学)、国家委员会（心脏病和CTVS）成员、FRCS、FRACS、美国、加拿大以及所有发展中国家和地区医学博士受益匪浅。

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