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目的探讨心房颤动射频消融术发生急性心脏压塞的临床特点和治疗结果。方法 2006年1月—2010年6月我院2 094例心房颤动患者接受射频消融治疗,其中9例并发急性心脏压塞,回顾性分析9例患者的临床表现和治疗结果。结果急性心脏压塞发生率为0.43%(9/2 094)。9例患者早期均表现为胸闷、血压下降。9例患者经心包穿刺引流后症状均完全缓解,无继续出血。结论急性心脏压塞是心房颤动射频消融术的严重并发症,及时发现和有效救治是十分重要的。
Objective To investigate the clinical features and treatment of acute cardiac tamponade caused by radiofrequency ablation of atrial fibrillation. Methods From January 2006 to June 2010, 2 094 patients with atrial fibrillation in our hospital underwent radiofrequency catheter ablation. Nine of them were complicated with acute cardiac tamponade. The clinical manifestations and treatment outcomes of 9 patients were retrospectively analyzed. Results The incidence of acute cardiac tamponade was 0.43% (9/2 094). Nine patients showed early chest tightness, decreased blood pressure. Nine patients had complete remission of symptoms after drainage by pericardiocentesis and no further bleeding. Conclusions Acute cardiac tamponade is a serious complication of radiofrequency catheter ablation in atrial fibrillation. It is very important to discover and effectively treat it in time.