目的 探讨超声引导下心包穿刺置管引流急慢性心包积液的疗效。方法 回顾分析2009-01至2019-08医院161例行超声引导下心包穿刺置管引流术患者的临床资料,并对其病因、症状、缓解情况进行分析。结果 161例心包积液患者前三位的病因分别为肿瘤、心力衰竭、创伤或手术,经超声引导下心包穿刺置管术治疗后症状缓解率均在70%以上。结论 超声引导下心包穿刺置管引流术治疗心包积液疗效确切,可作为临床治疗心包积液特别是急性心包压塞的首选治疗方式。
Abstract
Objective To explore the clinical efficacy of ultrasound-guided pericardiocentesis and catheter drainage in the treatment of pericardial effusion. Methods The clinical data of 161 patients who underwent ultrasound-guided pericardiocentesis and catheter drainage between January 2009 and August 2019 was retrospectively analyzed. The aetiology, clinical presentation and remission history of these patients were reviewed. Results The top three causes of pericardial effusion among these patients were neoplasm, cardiac failure and trauma (or surgery) respectively. The remission rate exceeded 70% after ultrasound-guided pericardiocentesis and catheter drainage. Conclusions Ultrasound-guided pericardiocentesis and catheter drainage has undeniable efficacy, which is easy to perform, less invasive, safe and suitable as a bedside therapy. It can be a preferred treatment for pericardial effusion, especially for acute cardiac tamponade.
关键词
心包积液 /
穿刺 /
超声 /
疗效
Key words
pericardial effusion /
centesis /
ultrasound /
efficacy
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参考文献
[1] Berger M, Bobak L, Jelveh M, et al. Pericardial effusion diagnosed by echocardiography, clinical and electrocardiographic findings in 171 patients[J]. Chest,1978,74(2):174-179.
[2] Hoit B D. Management of effusive and constrictive pericardial heart disease [J]. Circulation,2002,105 ( 25) : 2939-2942.
[3] 郑伟民,周有华,赵汉儒,等.56例结核性心包炎患者的临床特点及预后分析[J].中国地方病防治杂志,2016,31(8):935-937.
[4] Dudzinski D M, Mak G S, Hung J W. Pericardial diseases[J]. Curr Probl Cardiol,2012,37(3):75-118.
[5] 齐 欣. 心包压塞的超声心动图表现[J].中华心脏与心律电子杂志,2017,5( 3) : 129-134.
[6] 沈世华,李建卫,吴松松,等.超声引导下心包穿刺置管引流术的应用价值[J].医学影像学杂志,2017,(4):640-642.
[7] 郑梅花.超声导引下中心静脉导管置管引流治疗心包腔积液10例分析[J].临床医药实践,2017(1):48-49.
[8] Allen K B, Faber L P, Warren W H, et al. Pericardial effusion: subxiphoid pericardiostomy versus percutaneous catheter drainage[J]. Ann Thorac Surg,1999,67:437-440.
[9] Abdurrahim C,Necip B,Ugur K,et al. Treatment of pericardial e usion through subxiphoid tube pericardiostomy and computerized tomography- or echocardiography-guided percutaneous catheter drainage methods[J]. Braz J Cardiovasc Surg,2019,34(2):194-202.
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