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目的探讨应用Seldinger导管法置入中心静脉导管引流心包积液的疗效及安全性。方法 21例心包积液患者在超声心动图定位下应用Seldinger穿刺法,分别间断或持续穿刺置管引流心包积液。结果 21例心包积液患者均一次穿刺置管成功,置管引流后,临床症状缓解或消失,未出现肺损伤、肝损伤、心肌损伤及冠状动脉损伤等并发症,未出现心律失常及术后感染。结论 Seldinger穿刺法置入中心静脉导管引流心包积液安全有效,由于该操作简单,取材方便,成功率高,明显减少不良反应。
Objective To investigate the curative effect and safety of using Seldinger catheter to introduce central venous catheter drainage pericardial effusion. Methods 21 cases of pericardial effusion patients under echocardiography using Seldinger puncture, respectively, or continuous puncture catheter drainage pericardial effusion. Results All the 21 patients with pericardial effusion had a successful puncture and catheterization, and the clinical symptoms disappeared or disappeared after catheter drainage. No complications such as lung injury, liver injury, myocardial injury and coronary artery injury occurred, no arrhythmia occurred and postoperative infection. Conclusion Seldinger puncture into the central venous catheter drainage pericardial effusion is safe and effective, because of the simple operation, easy access, high success rate, significantly reduce adverse reactions.