摘要背景 心包剥脱术被证实是治疗慢性缩窄性心包炎的有效方法,但若干围术期危险因素影响术后患者短期及长期病死率. 目的 识别围术期危险因素有利于合理评估围术期风险,改善管理策略. 内容 从心包炎病因、心包钙化、心脏疾病相关因素、内环境因素、伴随疾病、手术相关因素等方面,分析导致患者术后短期及长期不良转归的危险因素. 趋向 由于当前的研究着眼于术前因素,将来关注术中及术后因素的研究可加深对该手术围术期危险因素的认识,进一步改善管理策略.

abstractsBackground Pericardiectomy has been demonstrated to be an effective treatment of chronic constrictive pericarditis,but certain perioperative risk factors affect its postoperative short-term and long-term mortality.Objective Identification of perioperative risk factors benefits reasonable evaluation of perioperative risk and amelioration of management strategies.Content Based on etiology,pericardial calcification,cardiac-disease-related factors,internal environmental factors,comorbidities,surgery-related factors and other categories,this review analyzes the risk factors contributing to poor short-term and long-term outcome.Trend Since present studies focus on preoperative factors,further studies concerning intra-operative and postoperative ones could deepen the knowledge of perioperative risk factors of pericardiectomy and revamp its management strateties.