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| 心包穿刺置管引流治疗小儿心包积液20例疗效观察 | |
| 引用本文： | 彭楚明,肖灿辉,杨慧湘,肖琴,苏咏泉,邹坤.心包穿刺置管引流治疗小儿心包积液20例疗效观察[J].中国现代医学杂志,2008,18(8):1122-1124. |
| 作者姓名： | 彭楚明 肖灿辉 杨慧湘 肖琴 苏咏泉 邹坤 |
| 作者单位： | 1. 湖南省湘潭市韶山医院,儿科,湖南,湘潭,411300 2. 湖南省湘潭市韶山市计划生育委员会,湖南,湘潭,411300 3. 湖南省湘潭县人民医院,湖南,湘潭,411228 |
| 摘 要： | 目的探讨留置中心静脉导管治疗小儿心包积液的应用价值。方法20例心包积液患儿在超声定位下取剑突旁穿刺点，按Seldinger穿刺法穿刺，并留置中心静脉导管，引流心包积液以及心包腔内注射药物。结果20例小儿心包积液均穿刺成功，无心脏损伤、出血、局部感染、气胸和严重心律失常发生，引流心包积液30～100mL后患儿症状明显缓解，保留中心静脉导管5～22d，无1例发生心包缩窄。结论留置中心静脉导管治疗小儿心包积液可达到诊断和治疗的目的，是一种安全、有效的方法。 |
| 关 键 词： | Seldinger法 心包穿刺 心包积液 儿童 心包穿刺置管 引流治疗 心包积液 疗效观察 pericardial effusion children catheter drainage 安全 诊断和治疗 缩窄 发生 严重心律失常 气胸 感染 局部 出血 心脏损伤 结果 注射药物 |
| 文章编号： | 1005-8982(2008)08-1122-03 |
| 修稿时间： | 2007年6月19日 |
Effect of pericardiocentesis and drainage by catheter in 20 children with pericardial effusion |
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| PENG Chu-ming,XIAO Can-hui,YANG Hui-xiang,XIAO Qin,SU Yong-quan,ZOU Kun.Effect of pericardiocentesis and drainage by catheter in 20 children with pericardial effusion[J].China Journal of Modern Medicine,2008,18(8):1122-1124. | |
| Authors: | PENG Chu-ming XIAO Can-hui YANG Hui-xiang XIAO Qin SU Yong-quan ZOU Kun |
| Abstract: | Objective To investigate the clinical value of detained central venous catheter(CVC) for the treatment of pericardial effusion in children. Methods Pericardial punctures were performed by using Seldinger method and the real ultrasongraphy at xiphoid process in 20 children patients with pericardial effusion,then the CVCs were detained,pericardial effusion was drained and drugs were injected into pericardial cavity. Results All the pericardial punctures were successful. and no heart injury,haemorrhage,local i... |
| Keywords: | Seldinger method pericardiocentesis perieardial effusion children |
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