早期胸腔穿刺抽液治疗1例高龄难治性心力衰竭并反复胸腔积液患者长程疗效观察  

Observation of long-term efficacy of early thoracentesis in the treatment of 1 case of elderly patient with refractory heart failure and recurrent pleural effusion

作　　者：陈旭昌 刘秀丽 王进 CHEN Xu-chang;LIU Xiu-li;WANG Jin(Department of Internal Medicine,96607 PLA Hospital,Baoji 721006,China)

机构地区：[1]解放军96607部队医院内科,721006

出　　处：《中国实用医药》2022年第22期144-147,共4页China Practical Medicine

摘　　要：回顾性分析1例高龄难治性心力衰竭[纽约心脏病协会(NYHA)心功能分级Ⅲ~Ⅳ级]合并胸腔积液患者的18次住院资料,均采用早期胸腔穿刺抽液治疗。治疗后临床症均状明显改善,达到心功能Ⅱ级,氨基末端脑钠肽前体(NT-proBNP)、尿素氮(BUN)、肌酐(Cre)均较治疗前下降。其中患者6次(33.33%)住院仅采取早期胸腔穿刺抽液及口服药物治疗。该患者胸腔穿刺抽液治疗均在超声定位后进行,均未发生气胸等并发症和不良反应。提示早期胸腔穿刺抽液治疗高龄难治性心力衰竭并反复胸腔积液安全有效。The 18 hospitalization data of an elderly patient with refractory heart failure[New York Heart Association(NYHA)cardiac function gradeⅢ-Ⅳ]and pleural effusion were retrospectively analyzed,all of which were treated by early thoracentesis.After treatment,the clinical symptoms were significantly improved,and the cardiac function is grade II.The N-terminal pro-brain natriuretic peptide(NT-proBNP),blood urea nitrogen(BUN),and creatinine(Cre)all decreased compared with those before treatment.6 hospitalizations(33.33%)were treated with early thoracentesis and oral medication.Thoracentesis was performed after ultrasound localization,and no complications or adverse reactions such as pneumothorax occurred.It is suggested that early thoracentesis is safe and effective in the treatment of refractory heart failure with recurrent pleural effusion in the elderly.

关 键 词：胸腔穿刺 难治性心力衰竭 胸腔积液 心功能 疗效 

分 类 号：R541.6[医药卫生—心血管疾病] R561.3[医药卫生—内科学]