心包穿刺置管治疗心包积液的临床研究

Clinical Study of Cardiac Catheterization in the Treatment of Pericardial Effusion

目的探讨心包穿刺置管在治疗心包积液中的疗效、安全性等。方法从选取2009年1月—2013年1月期间该院收治的心包积液病患中选取40例患者作为研究对象,对患者通过心包穿刺置管治疗的临床资料进行回顾。结果该组40例心包积液患者均成功置管,其中留置时间最短为5 d,最长为1 d,40例患者均未发现有感染现象以及组织脏器受损等不良情况。此外,有3例患者具有导管堵塞的情况,在采用肝素生理盐水进行冲洗后导管恢复通畅。结论在心包积液的临床治疗中采用心包穿刺置管的治疗方法,疗效明显,安全性高,值得在临床中推广应用。

Objective To analyze the clinical efficacy and safety of cardiac catheterization in the treatment of pericardial effusion. Methods 40 patients with pericardial effusion treated from January, 2009 to January, 2013 were selected as the subjects, and their clinical data of cardiac catheterization treatment were reviewed. Results The cardiac catheterization of 40 cases of patients with pericardial effusion in this group was conducted successfully. Of which, the shortest catheter indwelling time was 5 days, the longest was 16 days. No infection, organ damage and other adverse events were found in the 40 patients. Although catheter block- age occurred in 3 cases, the catheter restored patency after being flushed with heparin saline. Conclusion Cardiac catheterization is quite effective and safe in the treatment of pericardial effusion, which is worthy of clinical application.