The clinical application of pericardiocentesis and drainage by catheter in relatively large pericardial effusion
- VernacularTitle:心包穿刺置管引流术在较大量心包积液中的临床应用
- Author:
Lihua LI
- Publication Type:Journal Article
- Keywords:
Pericardial effusion;
Pericardiocentesis;
Drainage
- From:
Journal of Chongqing Medical University
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a method for pericardiocentesis and drainage,the duration,posture of drainage and the fluid volume by drainage.Methods:Forty patients half lying on the bed,the puncture was performed via the subxiphoid route after the site,depth and direction of needle entry were confirmed by echocardiography.Using seldinger method,we put the central venous indwelling catheter into pericardial sac and connect it with an aseptic bag for drainage.Results:Catheter pericardiocentesis in 40 patients was successful without complications.Duration of use of the indwelling pericardial catheter ranged from one day to seven days,the average is 1.5?2 days.The fluid volume removed was one hundred and eighty to two thousands milliliters,mean volume is 750?600ml.After drainage,chest discomfort and short breath were alleviated obviously.Prominent jugular veins disappeared.Reductions of heart rate were significant.Cardiac function improved.Conclusion:Seldinger technique is a safe method for pericardiocentesis and drainage with the assistance of echocardiographic diagnosis and guidance.It can avoid myocardial trauma and drain the pericardial effusions effectively.
