心包置管间断抽液治疗心包积液30例观察及护理

Clinical Efficiency of Discontinuous Drawing out Pericardial Effusion by ntrapericardial Indwelling Tube and Nursing Care:a Report of 30 Cases

目的探讨心包穿刺置管间断抽液治疗大量心包积液的临床观察及护理。方法30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。结果30例患者均穿刺成功,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,无1例发生心包内继发感染。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,护士应加强置管前后的观察和护理以及预防感染,是提高患者生存质量的关键。

Objective To evaluated the clinical efficiency of discontinuous drawing out pericardial effusion by ntrapericardial indwelling tube and nursing care.Methods 30 patients with pericardial effusion were treated by introduced intrapericardial indwelling tube and the pericardial effusion was drawn out discontinuously.Results The pericardiocentesis and intubation of catheter were all successful in 30 patients.5 cases were with chest pain accompanying with respiratory movement.2 cases with inadequate drainage,and kept unobstructed after changing the body posture,1 case with pericardial effusion leaking into thoracic cavity on the second day.No case was with secondary infection in pericardium.Conclusion The discontinuous drawing out effusion by intrapericardial indwelling tube was effective for the pericardial effusion,especially from tumors.The careful observations and care of nurses can effectively prevent the secondary infection and improve the QOL of patients.