[摘 要] 目的 总结急性化脓性心包炎的治疗经验。 方法 回顾性分析21例急性化脓性心包炎早期施行心包切除术治疗的临床资料。 结果 全组均在气管插管全麻下经左胸第四或第五肋间前外侧切口施行手术。心包切除范围两侧至膈神经前缘，左侧膈神经后方心包也尽量切除，上达主动脉和肺动脉根部，下至膈面。全组均顺利完成手术，无术中死亡，手术时间135～240min，平均155min。术后发生肺水肿2例，左肺不张1例，切口感染1例。术后体温恢复正常时间5～9d，平均7d。手术后住院时间11～25d，平均15d，全组均治愈出院。18例随访1～10年，无缩窄性心包炎发生。 结论 早期心包切除治疗急性化脓性心包炎具有操作简单、安全可靠、并发症少、感染灶清除彻底、住院时间短及不会继发缩窄性心包炎等优点，是治疗化脓性心包炎较为理想的方法。

    [关键词] 化脓性心包炎;心包切除术

    Pericardiectomy for acute suppurative pericarditis of early stage:a report of21cases

    MA Xiao-ping，CHENG Bin，WEN Zi-li，LIAO Guo-qing，WANG Wei，YAO Bo

    Department of Cardiothoracic Surgery，Chengdu No.6People's Hospital，Chengdu610051，China

    Abstract:Objective To summarize the therapeutic experience of acute suppurative pericarditis.Methods The clinical data of21cases of acute suppurative pericarditis at early stage treated with pericardiectomy were retrospectively analyzed.Results Left anterolateral incision was made in all the patients under general anesthesia.The resection range was that the two sides were the anterior borders of phrenic nerve ......