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目的探讨B超引导下心包穿刺诊治心包积液的临床价值。方法回顾性分析45例心包积液病人经B超检查引导穿刺抽液、生化、脱落细胞检查及病理证实的临床资料,分析心包积液声像图与穿刺抽液的临床价值。结果45例心包积液均穿刺成功,疾病不同,心包积液颜色性质可不同,心包积液量不等,穿刺体位、方法可不同。结论B超检查对心包积液的诊断、指导穿刺和选择治疗方法等有重要价值,同时具有无损伤、无痛苦、无电离辐射、操作简便、准确性高等优点。
Objective To investigate the clinical value of percutaneous drainage guided by B-guided pericardiocentesis. Methods The clinical data of 45 patients with pericardial effusion undergoing B-mode ultrasonography guided biopsy, biochemistry, exfoliated cell examination and pathological examination were retrospectively analyzed. The clinical value of pericardial effusion sonography and puncture fluid extraction was analyzed. Results 45 cases of pericardial effusion puncture were successful, different diseases, pericardial effusion color of different properties, pericardial effusion volume, puncture position, the method may be different. Conclusion B-ultrasound has important value in diagnosing pericardial effusion, guiding puncture, selecting treatment and so on. It has the advantages of no damage, no pain, no ionizing radiation, simple operation and high accuracy.