The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion

LI Lihua

doi:10.13406/j.cnki.cyxb.2004.04.040

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The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion

更新时间：2024-01-17

- The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion
- Journal of Chongqing Medical University Issue 4, Pages: 529-530(2004)
- 作者机构：
  
  重庆医科大学临床学院心内科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.04.040
  CLC： R542.12
- Published：2004，
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[1]李骊华.心包穿刺置管引流术在较大量心包积液中的临床应用[J].重庆医科大学学报,2004(04):529-530+533.

LI Lihua. The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion. [J]. Journal of Chongqing Medical University (4):529-530(2004)
[1]李骊华.心包穿刺置管引流术在较大量心包积液中的临床应用[J].重庆医科大学学报,2004(04):529-530+533. DOI： 10.13406/j.cnki.cyxb.2004.04.040.

LI Lihua. The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion. [J]. Journal of Chongqing Medical University (4):529-530(2004) DOI： 10.13406/j.cnki.cyxb.2004.04.040.

摘要

目的 :探讨心包穿刺引流术的方法、引流时间、引流的体位、引流液量的控制。方法 :患者取半卧位

超声心动图定位穿刺点、穿刺深度及方向。 4 0例患者均经剑突下进针。采用Seldinger’s法

将中心静脉导管送入心包腔内

连接无菌引流袋引流积液。结果 :4 0例患者心包穿刺均获成功

未出现并发症。引流导管留置时间 1～ 7天

平均 1.5± 2天。引流积液量 180～ 2 0 0 0ml

平均 75 0± 6 0 0ml。穿刺引流后患者胸闷、气促明显改善

颈静脉怒张消失。术后患者心率减慢

有显著性意义（相应为 10 5± 30次 /min

91± 31次 /min

P <0 .0 5 ）。心功能亦获明显改善。结论 :seldinger导管法用于心包穿刺安全

可避免损伤心肌

引流彻底

疗效可靠

Abstract

Objective:To explore a method for pericardiocentesis and drainage

the duration

posture of drainage and the fluid volume by drainage.Methods:Forty patients half lying on the bed

the puncture was performed via the subxiphoid route after the site

depth and direction of needle entry were confirmed by echocardiography.Using seldinger method

we put the central venous indwelling catheter into pericardial sac and connect it with an aseptic bag for drainage.Results:Catheter pericardiocentesis in 40 patients was successful without complications.Duration of use of the indwelling pericardial catheter ranged from one day to seven days

the average is 1.5±2 days.The fluid volume removed was one hundred and eighty to two thousands milliliters

mean volume is 750±600ml.After drainage

chest discomfort and short breath were alleviated obviously.Prominent jugular veins disappeared.Reductions of heart rate were significant.Cardiac function improved.Conclusion:Seldinger technique is a safe method for pericardiocentesis and drainage with the assistance of echocardiographic diagnosis and guidance.It can avoid myocardial trauma and drain the pericardial effusions effectively.

关键词

心包积液心包穿刺术引流

Keywords

pericardial effusionPericardiocentesisDrainage

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