Miao Q, Yu H, Ren H, Wang Z, Shen W
PUMC Hospital, CAMS and PUMC, Beijing 100730.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1998 Jun;20(3):216-9.
To choose a safe, effective, minimum invasive procedure for treatment of patients with a large pericardial effusion and cardiac tamponade.
Retrospective analysis of 30 cases with large pericardial effusion or cardiac tamponade diagnosed by echocardiography during four years (1993-1997). The subxiphoid pericardial window drainage and pericardial tissue biopsy was performed.
The symptoms were improved immediately following the drainage. The drainage volume during operation was 200-2,000 ml, and postoperation was 0-2,000 ml. The drainage tube was kept in position for average of 5.6 days. With the echocardiography follow up, the pericardial effusion disappeared or remained only minimum fluid in 96.7% of the patients. The complications happened in 6 cases. The 30-days mortality was 6.7%.
The subxiphoid pericardial window drainage procedure is the first choice for a safe, effective, minimal invasive and easy to do procedure for the patients with a large pericardial effusions or cardiac tamponade.
为大量心包积液和心脏压塞患者选择一种安全、有效、微创的治疗方法。
回顾性分析1993年至1997年四年间经超声心动图诊断为大量心包积液或心脏压塞的30例患者。行剑突下心包开窗引流及心包组织活检。
引流后症状立即改善。术中引流量为200 - 2000ml，术后为0 - 2000ml。引流管平均留置5.6天。经超声心动图随访，96.7%的患者心包积液消失或仅残留少量液体。6例发生并发症。30天死亡率为6.7%。
剑突下心包开窗引流术是大量心包积液或心脏压塞患者安全、有效、微创且易于实施的首选治疗方法。
