世界首例！老翁心臟結石 比基尼手術取出

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 1h7in.html
更新日期:2009/04/03 15:05
心臟裡也會長石頭！一位80歲老先生，日前因胸悶痛就醫，經X光與超音波檢出，在他的左心房裡，居然有一顆5公分大的心臟結石，檢出結果連醫護人員都傻眼，經台北榮總施予「微創比基尼開心手術」治療後，目前恢復良好，醫師表示，心臟結石案例在過去從未見過，不僅是台灣首例，在國際文獻上也從未看過，堪稱世界第一例！(徐韻翔報導)


「心中有一顆大石頭」，不止是一個形容詞，居然也出現在臨床！一位80歲的老先生，日前因為胸悶與胸痛，就醫檢查，一開始經抽血與心電圖無異狀，後來還是覺得不對勁，於是接受了健康檢查，拍了X光與接受超音波檢查後，檢出結果令醫護人員都傻眼，原來，老先生胸痛的原因，竟然是因為在他的左心房裡，有一顆5X4公分大的結石。


「心臟結石」的案例，醫師們遍查教科書、國際醫學文獻從未見，甚至在美國國家醫學圖書館中，也找不到相關記載，這位老先生的病症不僅創下台灣首例，也應該是世界第一例！


由於心臟結石隨時讓老先生可能阻礙血流、有猝死危機，台北榮總團隊緊急為他施行傷口小，復原快的「微創比基尼開心手術」，摘取他的心頭大患，北榮心臟外科主治醫師張孝煌表示，這顆石頭緊黏在心臟上，小石頭要長到五公分，應該是醞釀了7~8年時間，才逐漸變大，研判可能是心臟良性腫瘤鈣化而成，或是原本心臟可能曾出現血塊，日子久了而結石。老先生透過手術卸下心中的大石後，目前恢復良好，正持續回診追蹤。


醫師表示，搶救心臟結石老翁的這項「比基尼心臟手術」，也拯救了一例二十多歲的心臟病女子，創下台灣首例以內視鏡輔助微創開心手術治療心室中膈缺損的案例。截至目前，已經有20多位的病患在北榮接受過手術，最年輕為20多歲、最年長的已經88歲，復原大都不錯。


「比基尼心臟微創手術」可維持胸骨完整性，減少術後疼痛，降低肺功能損傷，與發炎等併發症，適合擔心大傷口的年輕女性，術後即使穿上比基尼也可遮住傷口，此外，肺功能差的老年患者也適用，降低胸腔及呼吸功能傷害。

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