中心静脉导管留置治疗心包积液86例临床评价 |
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引用本文: | 官功昌,王燕,吉海鸣,陈新义,寿锡凌,刘新宏. 中心静脉导管留置治疗心包积液86例临床评价[J]. 陕西医学杂志, 2005, 34(4): 450-451 |
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作者姓名: | 官功昌 王燕 吉海鸣 陈新义 寿锡凌 刘新宏 |
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作者单位: | 陕西省人民医院心内科,西安,710068 |
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摘 要: | 目的:探讨中心静脉导管( CVC)留置治疗心包积液的应用价值,寻找降低缩窄性心包炎的方法。方法:在X线导引下取剑突旁按Seldinger方法穿刺并留置CVC,抽取心包积液,心包腔内注射药物。结果:86例均获成功,无气胸、出血和心脏损伤情况发生,抽取心包积液2 0 0~30 0 ml左右,患者症状明显减轻,置管3~5 9d,无因心包缩窄外科治疗者。结论:CVC留置治疗心包积液可达到急救、诊断、治疗及心包腔冲洗的目的,对降低缩窄性心包炎也是一种有效的方法
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关 键 词: | 心包积液/外科学 心包穿刺术 导管插入术,中心静脉 |
Clinical evaluation of detained central venous catheter in the treatment of pericardial effusion (an analysis of 86 cases) |
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Affiliation: | Xi'an 710068 |
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Abstract: | Objective:To investigate the clinical value of detained central venous catheter for the treatment of pericaidial effusion , and to discover a new approach for preventing constrictive pericarditis. Methods:Pericardial punctures were performed by using Seldinger method and the real X-ray guiding in 86 patients with pericaidial effusion, then central venous catheters were detained, pericardial effusion was drained and drugs were injected into pericardial cavity. Results:All pericardial punctures were successful, and no pneumatothorax, haemorrhage and heart injury occurred. After 200~300 ml of pericardial effusion was drained, the symptoms of patients were alleviated remarkably. The catheters were detained for 3 ~59 days. In the follow-up period, no patients received surgery because of constrictive pericarditis.Conclusion:Detained central venous catheter is an effective approach for the diagnosis and treatment of pericardial effusion, which can also prevent constrictive pericarditis. |
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Keywords: | Pericardial effusion/surgery Pericardialcentesis Catheterization central venows |
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