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目的探讨心包穿刺置管引流的方法、效果、安全性及可行性。方法应用18号薄壁穿刺针及细硅胶管对各种原因所致的心包积液38例进行心包穿刺置管引流,连接引流管,间接放液至无引流液,观察1~2d,拔除引流管。结果38例心包积液患者都得到有效引流,临床有效率100%。未出现与穿刺置管引流有关的并发症。结论用18号薄壁穿刺针及细硅胶管进行心包穿刺置管引流是一种简便、安全、效价比高的方法,可以常规用于各种原因所致的心包积液。
Objective To investigate the method, effect, safety and feasibility of pericardiocentesis by catheterization. Methods Thirty-eight patients with pericardial effusion caused by various causes were treated with percutaneous puncture and catheter drainage through the thin-wall aspiration needle and the thin silicone tube on the 18th. The drainage tube was connected to the drainage tube. Indirect drainage was performed until no drainage was observed. tube. Results 38 cases of patients with pericardial effusion have been effectively drainage, clinical effective rate of 100%. No complications associated with drainage of the catheter were seen. Conclusions Pericardiocentesis and drainage with 18-gauge thin-wall needle and thin silicone tube is a simple, safe and cost-effective way to routinely use pericardial effusion caused by various reasons.