超声引导下心包穿刺置管引流术治疗心包积液的疗效分析  

Clinical efficacy of ultrasound-guided pericardiocentesis and catheter drainage for pericardial effusion

作　　者：张云山 法凯 任贺[1] 付万袭 杨景淮 ZHANG Yunshan;FA Kai;REN He;FU Wanxi;YANG Jinghuai(Department of Ultrasound Medicine,the Sixth Medical Center of PLA General Hospital,Beijing 100048,China)

机构地区：[1]解放军总医院第六医学中心超声医学科,北京100048

出　　处：《武警医学》2020年第2期110-113,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨超声引导下心包穿刺置管引流急慢性心包积液的疗效。方法回顾分析2009-01至2019-08医院161例行超声引导下心包穿刺置管引流术患者的临床资料,并对其病因、症状、缓解情况进行分析。结果161例心包积液患者前三位的病因分别为肿瘤、心力衰竭、创伤或手术,经超声引导下心包穿刺置管术治疗后症状缓解率均在70%以上。结论超声引导下心包穿刺置管引流术治疗心包积液疗效确切,可作为临床治疗心包积液特别是急性心包压塞的首选治疗方式。Objective To explore the clinical efficacy of ultrasound-guided pericardiocentesis and catheter drainage in the treatment of pericardial effusion.Methods The clinical data of 161 patients who underwent ultrasound-guided pericardiocentesis and catheter drainage between January 2009 and August 2019 was retrospectively analyzed.The aetiology,clinical presentation and remission history of these patients were reviewed.Results The top three causes of pericardial effusion among these patients were neoplasm,cardiac failure and trauma(or surgery)respectively.The remission rate exceeded 70%after ultrasound-guided pericardiocentesis and catheter drainage.Conclusions Ultrasound-guided pericardiocentesis and catheter drainage has undeniable efficacy,which is easy to perform,less invasive,safe and suitable as a bedside therapy.It can be a preferred treatment for pericardial effusion,especially for acute cardiac tamponade.

关 键 词：心包积液 穿刺 超声 疗效 

分 类 号：R445.1[医药卫生—影像医学与核医学] R542.12[医药卫生—诊断学]