中心静脉导管留置治疗心包积液86例临床评价  

Clinical evaluation of detained central venous catheter in thetreatment of pericardial effusion (an analysis of 86 cases)

作　　者：官功昌[1] 王燕[1] 吉海鸣[1] 陈新义[1] 寿锡凌[1] 刘新宏[1] 

机构地区：[1]陕西省人民医院心内科,西安710068

出　　处：《陕西医学杂志》2005年第4期450-451,共2页Shaanxi Medical Journal

摘　　要：目的:探讨中心静脉导管( CVC)留置治疗心包积液的应用价值,寻找降低缩窄性心包炎的方法。方法:在X线导引下取剑突旁按Seldinger方法穿刺并留置CVC,抽取心包积液,心包腔内注射药物。结果:86例均获成功,无气胸、出血和心脏损伤情况发生,抽取心包积液2 0 0～30 0 ml左右,患者症状明显减轻,置管3～5 9d,无因心包缩窄外科治疗者。结论:CVC留置治疗心包积液可达到急救、诊断、治疗及心包腔冲洗的目的。Objective:To investigate the clinical value of detained central venous catheter for the treatment of pericaidial effusion , and to discover a new approach for preventing constrictive pericarditis. Methods:Pericardial punctures were performed by using Seldinger method and the real X-ray guiding in 86 patients with pericaidial effusion, then central venous catheters were detained, pericardial effusion was drained and drugs were injected into pericardial cavity. Results:All pericardial punctures were successful, and no pneumatothorax, haemorrhage and heart injury occurred. After 200～300 ml of pericardial effusion was drained, the symptoms of patients were alleviated remarkably. The catheters were detained for 3 ～59 days. In the follow-up period, no patients received surgery because of constrictive pericarditis.Conclusion:Detained central venous catheter is an effective approach for the diagnosis and treatment of pericardial effusion, which can also prevent constrictive pericarditis.

关 键 词：治疗心包积液 中心静脉导管留置 临床评价 Seldinger方法 缩窄性心包炎 腔内注射药物 应用价值 X线导引 损伤情况 患者症状 心包缩窄 CVC 治疗者 心包腔 抽取 

分 类 号：R542[医药卫生—心血管疾病] R181.34[医药卫生—内科学]