[1]章 阳,肖天林.CT引导下中心静脉导管置管引流心包积液的临床分析[J].介入放射学杂志,2016,(09):789-792.
　ZHANG Yang,XIAO Tian- lin.CT- guided central venous catheter drainage for the treatment of pericardial effusion： a clinical analysis[J].journal interventional radiology,2016,(09):789-792.
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CT引导下中心静脉导管置管引流心包积液的临床分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年09期
页码:
789-792
栏目:
非血管介入
出版日期:
2016-09-25

文章信息/Info

Title:
CT- guided central venous catheter drainage for the treatment of pericardial effusion： a clinical analysis
作者:
章 阳;  肖天林
Author(s):
ZHANG Yang;  XIAO Tian- lin
Department of Oncology， Affiliated Xiangyang Municipal Central Hospital， Hubei College of Arts and Sciences， Xiangyang， Hubei Province 441000， China
关键词:
【关键词】 CT引导;  超声体表定位;  中心静脉导管;  心包积液;  穿刺
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导下应用中心静脉导管置管引流心包积液的临床可行性、操作安全性、具体穿刺方法及相关注意事项。方法 对114例心包积液患者随机分为CT引导组（A组），超声体表定位组（B组），比较两组平均穿刺成功时间、平均穿刺次数、穿刺成功率及并发症的发生率。结果 A组第1针穿刺成功率为96.6%，B组为78.6%，P<0.05，在穿刺成功率上两组差异有统计学意义。总并发症发生率A组为3.4%，B组为16.1%。并发症的发生两组相比差异有统计学意义。结论 在CT引导下进行中心静脉导管置管引流心包积液，成功率高、不良反应少、引流彻底、方便注药。操作安全有效，值得在临床推广应用。

参考文献/References:

［1］ 吴海东， 周莉莉， 吴满辉， 等． 370例心包积液住院患者病因分析［J］． 岭南急诊医学杂志， 2013， 18： 335- 337．
［2］ Cho BC, Kang SM, Kim DH, et al. Clinical and echocardiographic characteristics of pericardial effusion in patients who underwent echocardiogrphically guided pericardiocentesis: Yonsei cardiovas- cular center experience, 1993- 2003［J］. Yonsei Med J, 2004, 45: 462- 468.
［3］ Little WC, Freeman GL. Pericardial disease［J］. Circulation, 2006, 113: 1622- 1632.
［4］ Lee TH, Ouellet JF, Cook M, et al. Pericardiocentesis in trauma: a systematic review［J］. J Trauma Acute Care Surg, 2013, 75: 543- 549.
［5］ Sanchez- Testal MV, Garcia- Rodriguez D, Farrais- Villalba M, et al. Transient biventricular dysfunction afterpericardiocentesis［J］. Med Clin （Barc）, 2013, 140: 93- 94.
［6］ 尚春迎． 心包腔内置管并注射顺铂治疗恶性心包积液［J］． 中国医药指南， 2010， 8： 98- 99．
［7］ Lindenberger M, Kjellberg M, Karlsson E, et al. Pericardiocentesis guided by 2- D echocardiography: the method of choice for treatment of pericardial effusion［J］. J Intern Med, 2003, 253: 411- 417.
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备注/Memo

备注/Memo:
（收稿日期：２０１5-12-０2）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2016-09-19