心包腔内置管间断抽液治疗心包积液21例临床观察

    Management of patients with pericardial effusion by drawing out discontinuously with intrapericardial indwelling tube: Report of 21 cases

    • 摘要: 目的:观察心包腔内置管间断抽液治疗心包积液的临床疗效。方法:21例心包积液患者应用中心静脉导管,采用Seldinger导管法经皮心包腔内置管,间断抽取心包积液,观察临床疗效及并发症。结果:19例采用剑突下置管,2例采用心尖部置管,5例出现随呼吸运动心前区轻微疼痛,2例出现引流不畅,改变体位后通畅,1例术后第2天发生心包积液漏入胸腔。结论:心包腔内置管间断抽液治疗心包积液具有较好的疗效,特别是肿瘤所导致的恶性心包积液。

       

      Abstract: Objective: To evaluated the clinical efficacy of the therapy of drawing out pericardial effusion discontinuously by intrapericardial indwelling tube for treatment of pericardial effusion.Methods: Twenty-one patients with pericardial effusion were treated by drawing out pericardial effusion discontinuously with intrapericardial indwelling tube.The clinical efficiency and complication were observed.Results: The tube was indwelt under cartilago ensiformis in 19 patients and in apex of heart in 2 cases.Five patients developed chest pain accompanied with respiratory movement after the tube was indwelt,and 2 patients demonstrated inadequate drainage,but the draining became smooth with the change of body posture.Pericardial effusion leaked into the thoracic cavity in 1 patient on the second day.Conclusions: The therapy of drawing out pericardial effusion discontinuously by intrapericardial indwelling tube is effective in controlling pericardial effusion,especially the malignant pericardial effusion in patients with tumor.

       

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