用于治疗难治性恶性心包积液的永久性留置导管
Permanent indwelling catheter for the management of refractory malignant pericardial effusion.
作者信息
Pustelnik Frederik Schultz, Laursen Christian B, Arshad Arman, Aziz Ahmed
机构信息
Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark.
Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
出版信息
Eur Clin Respir J. 2022 Jul 14;9(1):2095720. doi: 10.1080/20018525.2022.2095720. eCollection 2022.
In this case report, we describe the novel use of a permanent indwelling catheter (PiC) in the management of refractory malignant pericardial effusion (PE). The patient had disseminated lung cancer and was hospitalised repeatedly with circulatory collapse due to malignant PE despite treatments with pericardiocentesis (PCC) and a pericardial window (PW). The PiC was inserted as a last resort with no complications and was a mediator of pericardiodesis (PCD), resulting in the cease of PE. The PiC could subsequently be removed, and there was no relapse of PE.
在本病例报告中，我们描述了永久性留置导管（PiC）在难治性恶性心包积液（PE）管理中的新用途。该患者患有播散性肺癌，尽管接受了心包穿刺术（PCC）和心包开窗术（PW）治疗，但仍因恶性PE导致循环衰竭而反复住院。PiC作为最后手段插入，无并发症发生，并且是心包粘连术（PCD）的介导因素，导致PE停止。随后可以移除PiC，且PE未复发。
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