心包腔置管引流并注射沙培林治疗恶性心包积液  

Pericardiocentensis with central vein duct and inject OK-432 into pericardial cavity in treatment of malignant pericardial effusion

作　　者：陈坚[1] 梅琪[1] 李娜[1] 徐周敏[1] 

机构地区：[1]武警上海总队医院,上海201103

出　　处：《现代肿瘤医学》2008年第3期371-372,共2页Journal of Modern Oncology

摘　　要：目的:观察经B超引导下用中心静脉导管经皮穿刺行心包引流,并腔内注射沙培林治疗恶性心包积液的疗效。方法:19例恶性心包积液患者,采用Seldinger穿刺法,B超引导下经皮穿刺置入Arrow中心静脉导管,留置导管行心包引流后腔内注射沙培林5KE。结果:中心静脉导管穿刺心包积液引流并发症低、引流彻底,同时腔内注射沙培林疗效好、副作用小。结论:用中心静脉导管穿刺引流并腔内注射沙培林治疗恶性心包积液方法简单易行、疗效好。Objective：To study the effects of pericardiocentensis with central vein duct and inject OK -432 into pericardial cavity in treatment of malignant pericardial effusion. Methods ： To use Seldinger puncture technique and leaded by B ultrasonic, 19 patients of malignant pericardial effusion received pericardiocentensis with Arrow central vein duct. After drainage ,5 KE OK -432 injected in pericardial cavity. Results： Pericardiocentensis with central vein duct have less complication,and exhaustive drainaged. OK-432 injected in pericardial cavity has more beneficial effect than side effect. Conclusion： Pericardiocentensis with central vein duct and inject OK -432 into pericardial cavity in treatment of malignant pericardial effusion is easy and effective.

关 键 词：中心静脉导管 心包穿刺 心包积液 恶性肿瘤 沙培林 

分 类 号：R732.1[医药卫生—肿瘤]