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心包积液是临床上常见的疾病,常需行心包穿刺来解除心包压塞。心包穿刺是一项有危险的操作技术,患者极易因恶性心律失常、冠状动脉损伤、心包填塞等死亡,或导致气胸等严重并发症[1],其致命性并发症可高达10%～20%,制约着临床工作开展。本文旨在为临床医生推荐一种安全、简便、有效的操作方法。我院2008年8月—2010年7月采用一次性中心静脉导管经皮穿刺心包腔内置管的方法治疗心包积液,取得了很好的临床疗效,现总结报告如下。
Pericardial effusion is a common clinical disease, often required pericardial puncture to relieve pericardial pressure plug. Pericardiocentesis is a dangerous technique and patients can easily die of malignant arrhythmia, coronary artery injury and tamponade, or lead to serious complications such as pneumothorax [1]. The fatal complications can be as high as 10% -20 %, Restricting the clinical work. This article aims to recommend a safe, easy and effective method of operation for clinicians. Our hospital August 2008 -2010 in July by a one-time central venous catheter percutaneous endocardial catheterization method of pericardial effusion, and achieved good clinical efficacy, are summarized as follows.