中心静脉导管留置治疗心包积液86例临床评价

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

Clinical evaluation of detained central venous catheter in the treatment of pericardial effusion (an analysis of 86 cases)

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.