经皮穿刺心包置管引流治疗心包渗液54例疗效观察  

Effect of Percutaneous Pericardial Drainage with Indwelling Catheter in 54 Patients with Pericardial Effusion

作　　者：宋玉娥[1] 白融[1] 吕家高[1] 王琳[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《内科急危重症杂志》2003年第1期22-23,26,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的 :探讨经皮穿刺置入导管引流心包渗液的疗效及安全性。方法 :5 4例中量至大量心包渗液的患者在超声引导下置管行心包闭式引流。结果 :5 4例患者均置管成功 ,置管时间平均 10d( 5～ 2 0 )d ,均无脏器、组织损伤或感染等。 2例发生导管堵塞 ,经肝素盐水冲洗后再度通畅 ;1例有症状性低血压 ;1例发展为缩窄性心包炎。结论 :经皮穿刺置入导管行心包引流是一种安全。Objective: To investigate the effectiveness and safety of percutaneous pericardial drainage with indwelling catheter. Methods: A kind of central vein catheter was percutaneously indwelled for pericardial drainage in 54 patients with moderate or severe amount of pericardial effusion under the guide of echocardiograph. Results: The procedures of indwelling catheter drainage for pericardial effusion were successfully performed in all 54 patients, and the catheters were remained for 5～20 days without tissue or organ injury nor secondary infection. Catheter obstruction was found in 2 cases and symptomatic hypotension was observed in 1. Only 1 patient present evidences of pericardial constriction later. Conclusion: Percutaneous indwelling pericardiocentesis is a simple, effective and safe way in management of patients with pericardial effusion.

关 键 词：心包渗液 经皮穿刺 置管 心包引流 

分 类 号：R542.12[医药卫生—心血管疾病]