CAJ | 학술논문

[目的]探讨分析心脏介入性治疗手术过程中急性心脏压塞的临床诊断与治疗的经验。[方法]回顾性分析2002年1月至2011年9月间在本院行心脏介入性治疗手术过程中6例发生急性心脏压塞患者的临床资料。[结果]6例在心脏介入性诊治操作过程中发生急性心脏压塞的患者中，2例患者与心脏射频消融术有关、2例患者与经皮腔内冠状动脉成形术（PTCA）有关、1例患者与房间隔缺损（ASD）修补术有关、1例患者与临时起搏器安装术有关。经积极治疗，5例患者治愈出院，1例患者死亡。[结论]急性心脏压塞是心脏介入性治疗过程中严重的并发症，多与操作不当有关。及时诊断与处理是抢救中的关键所在，心包穿刺引流是治疗的首要方法，必要时行开胸手术治疗。
[목적]탐토분석심장개입성치료수술과정중급성심장압새적림상진단여치료적경험。[방법]회고성분석2002년1월지2011년9월간재본원행심장개입성치료수술과정중6례발생급성심장압새환자적림상자료。[결과]6례재심장개입성진치조작과정중발생급성심장압새적환자중，2례환자여심장사빈소융술유관、2례환자여경피강내관상동맥성형술（PTCA）유관、1례환자여방간격결손（ASD）수보술유관、1례환자여림시기박기안장술유관。경적겁치료，5례환자치유출원，1례환자사망。[결론]급성심장압새시심장개입성치료과정중엄중적병발증，다여조작불당유관。급시진단여처리시창구중적관건소재，심포천자인류시치료적수요방법，필요시행개흉수술치료。
[Objective]To explore the experiences of clinical diagnosis and treatment of cardiac tamponade during cardiac interventional therapy .[Methods]Clinical data of 6 patients with cardiac tamponade during car-diac interventional therapy in our hospital from Jan .2002 to Sept .2011 were analyzed retrospectively .[Re-sults]Among 6 patients with cardiac tamponade undergoing interventional therapy ,2 patients were caused by radiofrequency catheter ablation ,and 2 patients were caused by percutaneous transluminal coronary angioplasty (PTCA) ,and 1 patient was caused by transcatheter atrial septal defect (ASD) closure ,and 1 patient was caused by temporary pacemaker procedure .After active treatment ,5 patients were cured and discharged from the hospital ,but 1 patient died .[Conclusion]Cardiac tamponade is a severe complication during cardiac inter-ventional therapy ,and associated with misoperation .Prompt diagnosis and treatment is the key to rescue .Per-icardial puncture and drainage are the first treatment .If necessary ,thoracotomy should be performed .