Duvernoy O, Larsson S G, Persson K, Thurén J, Wikström G
Department of Diagnostic Radiology, University of Uppsala, Sweden.
Acta Radiol. 1990 Jan;31(1):41-6.
Thirty-three patients with pericardial effusion after open heart surgery were investigated with computed tomography (CT). Twelve of the 33 patients also underwent echocardiography prior to pericardiocentesis. The effusions were typed according to the results of the CT investigation. Because of postoperative adhesions, typical patterns of localized pericardial effusions were found in 16 patients. The localized compartments were seen on the right and left side of the heart and around the aorta and the pulmonary artery. CT was therefore shown to be of value for selecting the approach for drainage with catheter pericardiocentesis.
对33例心脏直视手术后心包积液患者进行了计算机断层扫描（CT）检查。33例患者中有12例在心包穿刺术前还接受了超声心动图检查。根据CT检查结果对积液进行分型。由于术后粘连，16例患者发现了典型的局限性心包积液模式。局限性腔隙见于心脏左右两侧以及主动脉和肺动脉周围。因此，CT显示对于选择导管心包穿刺引流的入路具有价值。
