Sinisalo Juha, Gunn Jarmo
Duodecim. 2017;133(4):417-23.
Invasive treatment of pericardial effusion comes into question when the volume of liquid in the pericardium limits the pumping action, the cause of effusion is unclear, the response to conservative treatment has been poor, or administration of a drug into the pericardium is desired. A number of surgical means or puncture techniques are available for pericardial drainage. We present the indications and modes of treatment for invasive treatment of pericardial effusion. Thrombi, pus or air may also occasionally be present in the pericardium, limiting the heart's pumping action.
当心包内液体量限制心脏泵血功能、积液原因不明、对保守治疗反应不佳或需要向心包内给药时,心包积液的侵入性治疗就成为一个问题。有多种手术方法或穿刺技术可用于心包引流。我们介绍心包积液侵入性治疗的适应证和治疗方式。心包内偶尔也可能存在血栓、脓液或气体,限制心脏的泵血功能。