【摘要】 目的 探讨经皮心包穿刺置管持续引流心包积液的疗效及安全性。方法 20例中到大量心包积液的患者在超声引导下穿刺置管引流。结果 20例患者均穿刺置管成功,导管留置时间2~7 d,均无组织脏器损伤及感染,心包积液引流彻底,心包压塞症状消失。结论 经皮心包穿刺置管持续引流是一种安全有效,完全能替代以往常规心包穿刺术。

    【关键词】 心包积液;穿刺术;引流;中心静脉导管

    【Abstract】 Objective To evaluate the percutaneous puncture and continuous drainage of pericardial effusion and cardiac safety.Methods 20 patients with moderate to large pericardial effusion in patients with ultrasound guided percutaneous catheter drainage.Results 20 patients were successfully cannulated,catheter indwelling time 2~7 d,no tissue organ injury and infection,the total drainage of pericardial effusion,pericardial tamponade symptoms.Conclusion Percutaneous drainage of pericardial puncture is a safe and effective continuous,fully able to replace the previous conventional Pericardiocentesis.

    【Key words】 Pericardial effusion; Puncture; Drainage; Central venous catheter

    心包积液治疗中心包穿刺是有危险的,患者易因恶性,心律失常,冠状动脉损伤,心包填塞等死亡,或导致气胸等严重并发症对我院经皮穿刺心包内置管持续引流心包积液的20例患者,取得良好疗效,总结如下 ......