【摘要】 目的探讨留置中心静脉导管治疗小儿心包积液的应用价值。方法20例心包积液患儿在超声定位下取剑突旁穿刺点,按Seldinger穿刺法穿刺,并留置中心静脉导管,引流心包积液以及心包腔内注射药物。结果20例小儿心包积液均穿刺成功,无心脏损伤、出血、局部感染、气胸和严重心律失常发生,引流心包积液30～100mL后患儿症状明显缓解,保留中心静脉导管5～22d,无1例发生心包缩窄。结论留置中心静脉导管治疗小儿心包积液可达到诊断和治疗的目的,是一种安全、有效的方法。更多还原

【Abstract】 Objective To investigate the clinical value of detained central venous catheter(CVC) for the treatment of pericardial effusion in children. Methods Pericardial punctures were performed by using Seldinger method and the real ultrasongraphy at xiphoid process in 20 children patients with pericardial effusion,then the CVCs were detained,pericardial effusion was drained and drugs were injected into pericardial cavity. Results All the pericardial punctures were successful. and no heart injury,haemorrhage,local infection,pneumathorax and severe cardiac arrhythmia occurred. After 30～100 mL of pericardial effusion were drained,the symptoms of all the patients were alleviated remarkably. The CVCs were detained for 5～22 days in the follow-up period and no constrictive pericarditis occurred. Conclusion Detained CVC is an effective and safe approach for the diagnosis and treatment of pericardial effusion in children.更多还原