心包腔内置管间断抽液治疗心包积液21例临床观察

Management of patients with pericardial effusion by drawing out discontinuously with intrapericardial indwelling tube:Report of 21 cases

目的:观察心包腔内置管间断抽液治疗心包积液的临床疗效。方法:21例心包积液患者应用中心静脉导管,采用Seldinger导管法经皮心包腔内置管,间断抽取心包积液,观察临床疗效及并发症。结果:19例采用剑突下置管,2例采用心尖部置管,5例出现随呼吸运动心前区轻微疼痛,2例出现引流不畅,改变体位后通畅,1例术后第2天发生心包积液漏入胸腔。结论:心包腔内置管间断抽液治疗心包积液具有较好的疗效,特别是肿瘤所导致的恶性心包积液。

Objective： To evaluated the clinical efficacy of the therapy of drawing out pericardial effusion discontinuously by intrapericardial indwelling tube for treatment of pericardial effusion. Methods ：Twenty-one patients with pericardial effusion were treated by drawing out pericardial effusion discontinuously with intrapericardial indwelling tube. The clinical efficiency and complication were observed. Results：The tube was indwelt under cartilago ensiformis in 19 patients and in apex of heart in 2 cases. Five patients developed chest pain accompanied with respiratory movement after the tube was indweh, and 2 patients demonstrated inadequate drainage,but the draining became smooth with the change of body posture. Pericardial effusion leaked into the thoracic cavity in 1 patient on the second day. Conclusions：The therapy of drawing out pericardia] effusion discontinuously by intraperieardial indwelling tube is effective in controlling pericardial effusion, especially the malignant pericardial effusion in patients with tumor.