|
|
|
| Clinical efficacy of ultrasound-guided pericardiocentesis and catheter drainage for pericardial effusion |
| ZHANG Yunshan, FA Kai, REN He, FU Wanxi, YANG Jinghuai |
| Department of Ultrasound Medicine, the Sixth Medical Center of PLA General Hospital, Beijing 100048, China |
|
|
|
|
Abstract Objective To explore the clinical efficacy of ultrasound-guided pericardiocentesis and catheter drainage in the treatment of pericardial effusion. Methods The clinical data of 161 patients who underwent ultrasound-guided pericardiocentesis and catheter drainage between January 2009 and August 2019 was retrospectively analyzed. The aetiology, clinical presentation and remission history of these patients were reviewed. Results The top three causes of pericardial effusion among these patients were neoplasm, cardiac failure and trauma (or surgery) respectively. The remission rate exceeded 70% after ultrasound-guided pericardiocentesis and catheter drainage. Conclusions Ultrasound-guided pericardiocentesis and catheter drainage has undeniable efficacy, which is easy to perform, less invasive, safe and suitable as a bedside therapy. It can be a preferred treatment for pericardial effusion, especially for acute cardiac tamponade.
|
|
Received: 25 September 2019
|
|
|
|
|
|
| [1] |
Berger M, Bobak L, Jelveh M, et al. Pericardial effusion diagnosed by echocardiography, clinical and electrocardiographic findings in 171 patients[J]. Chest,1978,74(2):174-179.
|
| [2] |
Hoit B D. Management of effusive and constrictive pericardial heart disease [J]. Circulation,2002,105 ( 25) : 2939-2942.
|
| [3] |
郑伟民,周有华,赵汉儒,等.56例结核性心包炎患者的临床特点及预后分析[J].中国地方病防治杂志,2016,31(8):935-937.
|
| [4] |
Dudzinski D M, Mak G S, Hung J W. Pericardial diseases[J]. Curr Probl Cardiol,2012,37(3):75-118.
|
| [5] |
齐 欣. 心包压塞的超声心动图表现[J].中华心脏与心律电子杂志,2017,5( 3) : 129-134.
|
| [6] |
沈世华,李建卫,吴松松,等.超声引导下心包穿刺置管引流术的应用价值[J].医学影像学杂志,2017,(4):640-642.
|
| [7] |
郑梅花.超声导引下中心静脉导管置管引流治疗心包腔积液10例分析[J].临床医药实践,2017(1):48-49.
|
| [8] |
Allen K B, Faber L P, Warren W H, et al. Pericardial effusion: subxiphoid pericardiostomy versus percutaneous catheter drainage[J]. Ann Thorac Surg,1999,67:437-440.
|
| [9] |
Abdurrahim C,Necip B,Ugur K,et al. Treatment of pericardial e usion through subxiphoid tube pericardiostomy and computerized tomography- or echocardiography-guided percutaneous catheter drainage methods[J]. Braz J Cardiovasc Surg,2019,34(2):194-202.
|
|
|
|
2020, Vol. 31 
