中心静脉导管在心包积液穿刺引流中的临床效果  

The Clinical Effects of Central Venous Catheter Drainage of Pericardial Effusion in

作　　者：李杰[1] 周谊[1] 贾雍[1] 高静[1] 飞尔顿 

机构地区：[1]解放军第十一医院重症医学科,新疆伊宁473000

出　　处：《中国医药指南》2014年第24期26-27,共2页Guide of China Medicine

摘　　要：目的探讨中心静脉导管在心包积液穿刺引流中的临床效果。方法将52例已确诊大量心包积液患者随机分为两组,A组26例在超声定位下行中心静脉导管心包积液引流置管术,B组26例在超声定位下行传统心包穿刺术。结果 A、B两组均一次性穿入成功,A组患者满意率明显优于B组(P<0.01),并发症(心率失常、心肌损伤、感染等)显著低于B组(P<0.05)。结论留置中心静脉导管闭式引流在治疗心包积液是一种操作简单、安全、经济、有效的方法,在基层医院临床中可大力推广。Objective To study the central venous catheter in the clinical effect of pericardial effusion puncture drainage. Methods 52 patients with confirmed massive pericardial effusion were randomly divided into two groups. 26 cases in group A ultrasonic positioning central venous catheter pericardial effusion drainage tube insertion, we downward. 26 patients in group B ultrasound positioning traditional pericardiocentesis. Results A, B two groups are one-time through successful, patients satisfaction rate of group A was better than group B（P〈0.01）, complications（arrhythmia and myocardial injury, infection, etc.）was significantly lower than group B（P〈0.05）. Conclusion Indwelling central venous catheter closed drainage in the treatment of pericardial effusion is a kind of operation is simple, safe, economic and effective method, can be promoted in the basic-level hospitals clinical.

关 键 词：中心静脉导管 心包积液 闭式引流术 临床效果 

分 类 号：R542.12[医药卫生—心血管疾病]