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急性化脓性心包积液7例,在全身用有效、足量抗生素治疗的基础上,对其中6例中至大量心包积液者,进行心包腔穿刺留置导管引流术,5例心包腔内用冲洗液反复、彻底冲洗治疗后,未出现缩窄性心包炎,预后良好。1例只单纯心包腔穿刺留置管抽脓,未进行心包腔内反复冲洗;1例未行心包穿刺抽脓,在4周内均出现缩窄性心包炎,均经外科手术剥离心包,缩窄性心包炎表现才得到改善。作者认为,对于急性化脓性心包积液,一旦确诊,必须强调早期、反复、彻底行心包腔内冲洗治疗。
Acute suppurative pericardial effusion in 7 cases, the body with effective and adequate antibiotic treatment, based on which 6 cases of moderate to large pericardial effusion were pericardiocentesis catheter drainage, 5 cases of pericardial flushing Fluid repeatedly, thoroughly washed after treatment, no constrictive pericarditis, the prognosis is good. One case of simple pericardial puncture catheter abscess, not repeated pericardial flushing; 1 case did not underwent pericardiocentesis pus, constrictive pericarditis occurred within 4 weeks, were surgically dissected pericardium, narrowing Sexual pericarditis performance has been improved. The author believes that for acute suppurative pericardial effusion, once diagnosed, we must emphasize early, repeated, thorough pericardial flushing treatment.