经皮穿刺心包置管引流治疗心包积液—附38例报告

目的探讨经皮穿刺置入导管引流心包积液的疗效及安全性。方法38例中等量至大量心包积液患者，在超声引导下置管行心包闭式引流，观察其效果和安全性。结果38例患者均置管成功，置管时间6～30d（平均10d），均无脏器、组织损伤或感染等情况出现。3例发生导管堵塞，经肝素盐水冲洗后再度通畅；1例出现症状性低血压，以予补液体、升血压药治疗后血压恢复。结论经皮穿刺置入导管行心包引流是一种安全、有效治疗心包积液的方法。

Objective To investigate the effect iveness and safety of percutaneous pericardial drainage with indwelling catheter. Method 38 patients with moderate to big amount of pericardial effusion have been treated by percutaneous pericardial drainage under ultrasonic induction. Results Indwelling canula was setup successfully for all the patients. The average time for Indwelling Catheterin was 10d（6 -30）d. without tissue or organ injuryn or secondary infection. Catheter obstruction was found in 3 cases and symptomatic hypotension was observed in 1. Conclusions Percutaneous pericardial drainage with indwelling eatheterin is a safe and effective method for the treatment of pericardial effusion.