心血管介入性治疗导致心脏压塞的临床分析

Clinical Analysis of Cardiac Tamponade Caused by Interventional Treatment of Cardiovascular

目的探讨分析心血管介入性治疗引起的心脏压塞情况,寻找预防措施。方法根据2004至2014年我院的8例心血管介入性治疗引起的心脏压塞患者来进行研究分析。结果患者接受心血管介入性治疗后出现心脏压塞的患者中有2例是因心脏射频消融,2例因房间隔缺损修补术,3例因PTCA,1例因安装临时起搏器,共有1例患者死亡,其余患者均顺利的治愈出院。结论心血管介入性治疗容易引起心脏压塞这种并发症,该并发症的产生是因为操作不合理导致的,需要对其进行预防,尽早的发现和治疗能够对患者的病情起到改善。对该并发症的治疗需采取心包穿刺引流,有时还需要进行开胸手术,对医生的经验要求比较高。

Objective To investigate the analysis of cardiovascular interventional treatment induced cardiac tamponade, find out the prevention measures.Methods Caused by interventional therapy in 8 patients with cardiovascular methods according to our hospital from 2004 to 2014 cardiac tamponade patients to carry on the research analysis.Results The patients received interventional therapy for cardiovascular patients appeared after the cardiac tamponade in 2 cases is due to cardiac radiofrequency ablation, 2 patients with atrial septal defect, 3 cases by PTCA, 1 cases by the installation of temporary pacemaker, a total of 1 patients died, the other patients were successfully cured. Conclusion Easily lead to cardiac tamponade complications in interventional treatment of cardiovascular, the complication arises because of the unreasonable operation result, needs to carry on the prevention, early discovery and treatment can improve the patient＇s condition to play. For the treatment of the complications to pericardiocentesis, sometimes also need surgical thoracotomy, on the doctor＇s experience relatively high requirements.