Academy of Radiology, Leeds General Infirmary Hospital, Yorkshire, United Kingdom.
Am J Emerg Med. 2010 Mar;28(3):388.e1-3. doi: 10.1016/j.ajem.2009.07.015.
Transthoracic echocardiography is an established means of diagnosing a pericardial effusion and has become the reference guidance modality for drainage of symptomatic collections. However, echocardiographic drainage is not feasible in all patients for a variety of technical and patient-related factors. Computed tomography (CT)-directed pericardiocentesis using a standard Seldinger technique is an alternative means of draining pericardial effusions and overcomes many of the limitations associated with echocardiography. We present a case in which a CT-guided approach was used to successfully drain a malignant pericardial effusion in the emergent setting. Clinicians should be aware of the potential role of CT in this setting.
经胸超声心动图是诊断心包积液的既定手段，已成为有症状积液引流的参考指导方式。然而，由于各种技术和患者相关因素，并非所有患者都可行超声心动图引流。使用标准 Seldinger 技术的 CT 引导下心包穿刺术是引流心包积液的另一种方法，可克服与超声心动图相关的许多限制。我们报告了一个在紧急情况下使用 CT 引导方法成功引流恶性心包积液的病例。临床医生应该意识到 CT 在这种情况下的潜在作用。
