Kopecky S L, Callahan J A, Tajik A J, Seward J B
Am J Cardiol. 1986 Sep 15;58(7):633-5. doi: 10.1016/0002-9149(86)90290-0.
Test results of 42 consecutive patients with pericardial effusion treated with percutaneous pericardial drainage were analyzed. Intermittent (79%) or continuous (21%) drainage through a 60-cm pigtail catheter (No. 6Fr to 8Fr) was used. Clinical indications were urgent or semiurgent treatment of large (38%), life-threatening (24%), recurrent (21%) or acute (traumatic) (17%) pericardial effusion. Sixteen patients had a malignant cause for the effusion. Mean duration of use of the indwelling pericardial catheter was 3.5 days (range less than 1 day to 19 days). Two of the 9 catheters in patients on continuous drainage but only 1 of 33 catheters in patients on intermittent drainage became occluded. There was only 1 possible infective complication. Six patients had subsequent elective surgical intervention for persistent or recurrent effusion. Placement of an indwelling pericardial catheter guided by 2-dimensional echocardiography is safe and effective for initial treatment of selected pericardial effusions.
分析了42例接受经皮心包引流治疗的心包积液患者的测试结果。通过一根60厘米的猪尾导管（6Fr至8Fr）进行间歇性（79%）或持续性（21%）引流。临床指征为对大量（38%）、危及生命（24%）、复发性（21%）或急性（创伤性）（17%）心包积液进行紧急或半紧急治疗。16例患者的积液病因是恶性的。留置心包导管的平均使用时间为3.5天（范围从不到1天至19天）。持续引流患者的9根导管中有2根堵塞，但间歇性引流患者的33根导管中只有1根堵塞。仅发生了1例可能的感染性并发症。6例患者随后因持续性或复发性积液接受了择期手术干预。二维超声心动图引导下留置心包导管对选定的心包积液进行初始治疗是安全有效的。
