[1]郑后军,杨汉丰,杜勇,等.CT导向下心包穿刺置管引流术治疗心包积液23例[J].介入放射学杂志,2013,(08):655-657.
ZHENG Hou? jun,YANG Han? feng,DU Yong,et al. CT?蛳 guided pericardiocentesis together with catheter drainage for the treatment of pericardial effusion: report of 23 cases[J].journal interventional radiology,2013,(08):655-657.
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CT导向下心包穿刺置管引流术治疗心包积液23例 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2013年08期
- 页码:
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655-657
- 栏目:
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非血管介入
- 出版日期:
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2013-08-30
文章信息/Info
- Title:
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CT?蛳 guided pericardiocentesis together with catheter drainage for the treatment of pericardial effusion: report of 23 cases
- 作者:
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郑后军; 杨汉丰; 杜勇; 徐晓雪; 李杨; 张勇; 胡富碧; 付国丽; 周雅梅
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- Author(s):
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ZHENG Hou?蛳 jun; YANG Han?蛳 feng; DU Yong; XU Xiao?蛳 xue; LI Yang; ZHANG Yong; HU Fu?蛳 bi; FU Guo?蛳 li; ZHOU Ya?蛳 mei.
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Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province 637007, China
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- 关键词:
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【关键词】 心包积液; 心包穿刺; CT导向; 引流 
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 初步探讨CT导向下心包穿刺置管引流的临床价值。方法 回顾分析23例经CT导向下心包穿刺置管引流的心包积液患者临床资料。记录并对比患者置管引流手术前后的血压、心率及氧饱和度,术后临床症状改善情况及穿刺相关并发症的发生率。结果 23例患者均1次心包置管引流成功。术中3例患者感觉轻度胸疼,术后临床症状均明显缓解及无穿刺并发症的发生;心包置管引流前后患者的心率减慢,由(91.7 ± 12.5)次/min降至(86.7 ± 9.6)次/min(P < 0.05),收缩压由(104.3 ± 16.4)mmHg升至(107.4 ± 13.6)mmHg(P < 0.05)。结论 CT导向下心包穿刺置管引流术穿刺具有成功率高、并发症率低、准确且有效等特点,值得临床应用。
参考文献/References:
[1] Hoey ET, Mankad K. Computed tomography?蛳 guided pericardiocentesis: utility in the management of malignant pericardial effusion[J]. Am J Emerg Med, 2010, 28: 388.e1 ?蛳 388.e3.
[2] Salem K, Mulji A, Lonn E. Echocardiographically guided pericardiocentesis?蛳 he Gold standard for the management of pericardial effusion and cardiac tamponade[J]. Can J Cardiol, 1999, 15: 1251 ?蛳 1255.
[3] Restrepo CS, Lemos DF, Lemos JA, et al. Imaging findings in cardiac tamponade with emphasis on CT[J]. Radiographics, 2007, 27: 1595 ?蛳 1610.
[4] Tsang TS, Enriquez?蛳 Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocen?蛳 teses: clinical profile, practice patterns, and outcomes spanning 21 years[J]. Mayo Clin Proc, 2002, 77: 429 ?蛳 436.
[5] Vayre F, Lardoux H, Pezzano M, et al. Subxiphoid pericardiocentesis guided by contrast two?蛳 dimensional echocardiography in cardiac tamponade: experience of 110 consecutive patients[J]. Eur J Echocardiogr, 2000, 1: 66 ?蛳 71.
[6] Klein SV, Afridi H, Agarwal D, et al. CT directed diagnostic and therapeutic pericardiocentesis: 8?蛳 year experience at a single institution[J]. Emerg Radiol, 2005, 11: 353 ?蛳 363.
[7] Restrepo CS, Lemos DF, Lemos JA, et al. Imaging findings in cardiac tamponade with emphasis on CT[J]. Radiographics, 2007, 27: 1595 ?蛳 1610.
[8] 潘 杰, 石海峰, 杨 宁, 等. CT引导下穿刺引流心包积液[J]. 介入放射学杂志, 2008, 06: 421 ?蛳 423.
备注/Memo
- 备注/Memo:
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(收稿日期:2011-12-30)
更新日期/Last Update: