经皮穿刺心包置管治疗大量心包积液128例临床观察

Clinical Effect on 128 cases of Massive Pericardial Effusion Treated by Percutaneous Pericardial Puncture

目的探讨经皮穿刺心包置管治疗128例大量心包积液患者的临床效果。方法选取2013年2月—2016年4月凉山州第一人民医院收治的大量心包积液患者128例,均于超声引导下行经皮穿刺心包置管治疗,观察其一次手术成功率、置管时长、引流量、术后并发症发生率及临床疗效。结果患者的一次手术成功率为100.0%,平均置管时长为(8.2±1.3)d,引流量为(1430±160)ml;术后再次胸痛2例、引流不畅7例,术后并发症发生率为7.0%;临床疗效为显效110例,有效18例,治疗有效率为100.0%。结论经皮穿刺心包置管治疗大量心包积液的临床疗效理想,患者术后并发症较少,安全性较高。

Objective To explor the clinical effect on 128 cases of massive pericardial effusion treated by percutaneous pericardial puncture. Methods A total of 128 patients with massive pericardial effusion were selected in First people＇s Hospital of Liangshan form February 2013 to April 2016. All patients were treated with percutaneous pericardial puncture, and observe the success rate of one time, length of tube, flow rate, incidence of postoperative complications and clinical effect. Results The success rate of one time of the patients was 100. 0% , the average length of tube was （8. 2±1.3） d , the flow rate was （1 430 ±160） ml. After the operation, there were 7 cases of re - chest pain and 2 cases of poor drainage, the incidence of postoperative complications was 7. 0% . 110 cases were markedly effective , 18 cases were effective , the effective rate was 100. 0% . Conclusion The cl inical effect percutaneous pericardial puncture in treating massive pericardial effusion is exactly, patients with less postoperative complications, and higher safety.