CAJ | 학술논문

目的：研究seldinger技术经心包穿刺置管在心包积液诊治中的应用。方法：100例患者于心尖部或剑突下经心包穿刺置入中心静脉导管引流，反复抽液或注入相应治疗药物，观察患者液体的引流变化及临床情况。结果：100例心包积液患者全部安全、有效置管成功。心包积液有心脏填塞的患者引流后症状迅速缓解，有明确病因需治疗的患者因中心静脉导管可长期保留（2～16天，个别患者30天），置管方便，反复抽液和药物注入利于治疗。患者能获得有效救治操作，且并发症少。结论：床边seldinger技术经心包置管引流心包积液法简单、安全、有效、经济，便于临床应用。
목적：연구seldinger기술경심포천자치관재심포적액진치중적응용。방법：100례환자우심첨부혹검돌하경심포천자치입중심정맥도관인류，반복추액혹주입상응치료약물，관찰환자액체적인류변화급림상정황。결과：100례심포적액환자전부안전、유효치관성공。심포적액유심장전새적환자인류후증상신속완해，유명학병인수치료적환자인중심정맥도관가장기보류（2～16천，개별환자30천），치관방편，반복추액화약물주입리우치료。환자능획득유효구치조작，차병발증소。결론：상변seldinger기술경심포치관인류심포적액법간단、안전、유효、경제，편우림상응용。
ObjectiveSeldinger technique research of pericardial puncture intubation in pericardial effusion in diagnosis and treatment of applications.Methods100 patients with apical or below the xiphoid process of pericardial puncture inserted central venous catheter,Again pumping fluids or inject medication accordingly, changes and clinical observation of draining liquid in patients with conditions.ResultsAl 100 cases of pericardial effusion in patients with safe, effective and successful successful. Drainage of pericardial effusion in patients with cardiac tamponade after symptom relief, there is a clear etiology, treatment of patients with central venous catheter for long-term retention (2-16 days, 30 days), Catheter, drainage and drug injection to treat again. Patients can receive effective treatment operation, and fewer complications.ConclusionsBedside seldinger technique by pericardial catheter drainage for pericardial effusion method is simple, safe, effective, economical, convenient for clinical application.