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心包胸腔中心静脉导管引流50例体会
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作者 董颖捷 赵巧红 李超斌 《中外医疗》 2008年第17期149-,共1页
根据经皮血管穿刺与浆膜腔穿刺都是通过皮下软组织进入穿刺靶区的原理,本文收集了我院自2001年至2007年50例大量心包胸腔积液、自发性气胸患者资料,采用中心静脉导管穿刺引流治疗,取得较好疗效。
关键词 心包胸腔 中心静脉 导管引流 体会
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经皮穿刺植入中心静脉导管治疗心包积液与胸腔镜下心包积液开窗引流术的临床观察 被引量:2
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作者 张世群 柳春燕 陈永利 《航空航天医学杂志》 2013年第11期1357-1358,共2页
目的:心包积液在临床上很多见,治疗方法多样,在此评价胸腔镜下心包开窗术在心包积液的治疗中的效果与经皮穿刺植入中心静脉导管治疗心包积液的效果的临床观察。方法:对40例初次患心包积液患者分别行胸腔镜心包开窗术治疗20例,经皮... 目的:心包积液在临床上很多见,治疗方法多样,在此评价胸腔镜下心包开窗术在心包积液的治疗中的效果与经皮穿刺植入中心静脉导管治疗心包积液的效果的临床观察。方法:对40例初次患心包积液患者分别行胸腔镜心包开窗术治疗20例,经皮穿刺植入中心静脉导管治疗心包积液20例。观察心包积液有无近期复发,心包积液完全缓解率,术中及术后并发症,病人的创伤程度及术中临床费用上有无差异。结果:胸腔镜心包开窗术组:平均手术时间50min(45—110min),20例手术患者术中及术后均无手术并发症发生。术后胸引管保留时间3~14天。术后随访。无心包积液复发,也未发现缩窄性心包炎。经皮穿刺植入中心静脉导管治疗心包积液组:纯植管时间2—15min。1例出现术中心率减慢至40次/min,引流管保留时间6~16天,术后随访,无心包积液复发,也未发现缩窄性心包炎。但两组病人的创伤程度及临床费用上有明显差异。结论:两种方法均是一个安全的治疗方法。 展开更多
关键词 中心静脉导管 心包积液 胸腔心包开窗术
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中心静脉导管引流恶性心包及胸腔积液的应用
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作者 简亚梅 张少兴 +2 位作者 樊跃忠 郭敏 武连文 《吉林医药学院学报》 2008年第6期353-,共1页
关键词 中心静脉导管 心包胸腔积液 引流
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晚发性维生素K缺乏致胸腔 膈下 心包出血1例
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作者 陈海娟 邵秀敏 梁道喜 《中国实用儿科杂志》 CSCD 北大核心 2004年第3期185-185,共1页
关键词 晚发性维生素K缺乏 胸腔膈下心包出血 X线胸片 心包积液
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TEMPORAL TRENDS IN ETIOLOGY AND IN-HOSPITAL OUTCOME IN CHINESE PATIENTS WITH PERICARDIAL EFFUSION:10-YEAR EXPERIENCE OF A SINGLE CENTER
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作者 孙寅光 沈卫峰 +1 位作者 毛原飞 Farouk Mookadam 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2009年第1期32-38,共7页
Objective To evaluate the evolution of etiology, clinical characteristics, and in-hospital outcomes of pericardial effusions in the recent decade. Methods All patients with a diagnosis of pericardial effusion during h... Objective To evaluate the evolution of etiology, clinical characteristics, and in-hospital outcomes of pericardial effusions in the recent decade. Methods All patients with a diagnosis of pericardial effusion during hospitalization were recruited from the Hospital Inpatient System between January 1996 and December 2005. Demographic and clinical characteristics, laboratory measurements, echocardiographic and treatment features, and in-hospital outcomes were retrospectively reviewed by using a standardized data collection form. Results One hundred and fifry-three consecutive patients were recruited. Mild, moderate and large pericardial effusion occurred in 61 (40%), 52 (34%) and 40 (26%) patients, respectively. The most frequent etiologic diagnoses were tuberculous pericarditis ( n = 50, 33% ) , malignancy ( n = 36, 24% ) and idiopathic pericarditis (n = 35, 23% ). Large effusions were more likely' associated with malignancy (P 〈 0. 01 ). Compared to the initial 5 years (from 1996 to 2000) , the incidence of tuberculous effusion was decreased but neoplastic effusion increased significantly in the recent 5 ),ears (from 2001 to 2005 ). Forty-four patients underwent percardiocentesis (tuberculous in 23, neoplastic in 16, and others in 5) and 28 patients required pericardectomy (tuberculous in 11 and neoplastic in 17). One patient with tuberculous and 3 patients with neoplastic pericardial effusion died during hospitalization. Conclusion Tuberculosis remains the major cause of pericardial effusion, but neoplastic pericardial effusions are on the rise. Pericardial drainage or pericardectomy are often required for symptomatic relief in those with malignancy-caused pericardial effusion. 展开更多
关键词 pericardial effusion malignancy tuberculosis management
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