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心包穿刺术：超声引导至关重要。

Pericardiocentesis: ultrasound guidance is essential.

作者信息

Blanco Pablo, Figueroa Liliana, Menéndez María Fernanda, Berrueta Belén

机构信息

High-Dependency Unit (UCIM), Hospital "Dr. Emilio Ferreyra", 4801, 59 Ave., 7630, Necochea, Argentina.

Department of Teaching and Research, Hospital "Dr. Emilio Ferreyra", 4801, 59 Ave., 7630, Necochea, Argentina.

出版信息

Ultrasound J. 2022 Feb 14;14(1):9. doi: 10.1186/s13089-022-00259-5.

DOI:10.1186/s13089-022-00259-5
PMID:35157176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8844339/
Abstract

BACKGROUND

Pericardial effusion is a common entity which may have important implications in patient's prognosis. In several cases, pericardiocentesis is indicated for diagnostic and/or therapeutic purposes.

CASE PRESENTATION

A blind pericardiocentesis failed in a 95-year-old woman admitted to the emergency department with a large pericardial effusion incidentally diagnosed in the ambulatory setting. Ultrasound-guided pericardiocentesis aided in easily accessing to the pericardial cavity, without periprocedural complications.

CONCLUSIONS

Ultrasound-guided pericardiocentesis is simple, safe and effective, and should replace the blind technique. This procedure should be part of the armamentarium of ultrasound-guided practices of emergency or critical care physicians.

摘要

背景

心包积液是一种常见病症，可能对患者预后产生重要影响。在多种情况下，心包穿刺术用于诊断和/或治疗目的。

病例报告

一名95岁女性因在门诊偶然诊断出大量心包积液而入住急诊科，盲法心包穿刺术失败。超声引导下心包穿刺术有助于轻松进入心包腔，且无术中并发症。

结论

超声引导下心包穿刺术简单、安全且有效，应取代盲法技术。该操作应成为急诊或重症医生超声引导操作手段的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/1e02190d91e1/13089_2022_259_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/7dc1b6279bb9/13089_2022_259_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/788855a1b9b3/13089_2022_259_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/1e02190d91e1/13089_2022_259_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/7dc1b6279bb9/13089_2022_259_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/788855a1b9b3/13089_2022_259_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/8844339/1e02190d91e1/13089_2022_259_Fig3_HTML.jpg

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Looking a bit superficial to the pleura.看起来有点靠近胸膜表面。
资源有限环境下钝性多系统创伤中的张力性心包积气
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Ultrasound emergency lateral-to-medial parasternal pericardiocentesis with high frequency probe in COVID-19: a case report.新冠疫情下使用高频探头经胸骨旁外侧至内侧进行超声引导紧急心包穿刺术：一例报告
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Pericardial effusion and pericardiocentesis: role of echocardiography.心包积液和心包穿刺术：超声心动图的作用。
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An inexpensive, easily constructed, reusable task trainer for simulating ultrasound-guided pericardiocentesis.一种用于模拟超声引导下心包穿刺术的廉价、易于制作、可重复使用的任务训练器。
J Emerg Med. 2012 Dec;43(6):1066-9. doi: 10.1016/j.jemermed.2011.05.066. Epub 2011 Sep 16.
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Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years.连续1127例经超声心动图引导的心包穿刺术：21年的临床概况、实践模式及结果
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