心脏压塞

心包腔置ARROW导管引流治疗心脏压塞17例体会

Percutaneous Pericardial Drainage With ARROW Catheter for Patients with Cardiac Tamponade : Clinical Analysis of 17 Cases

创伤后心包炎致延迟性心脏压塞一例报告

Post-trauma pericarditis results in delayed cardiac tamponade : a case report

目的探讨心脏压塞经皮心包腔内置入ARROW导管治疗的临床疗效及安全性。

Objective To evaluate the clinical efficacy and safety of percutaneous pericardial drainage with ARROW catheter for patients with cardiac tamponade .

全组损伤严重度评分（ISS）为30.53±10.80。死亡5例，其中3例死于失血性休克，1例死于心脏压塞，1例死于多器官功能衰竭。

The injury severity score in this series was 30.53 ± 10.80 . Five cases were died from hemorrhagic shock ( three cases ), pericardial tamponade ( one case ) and multiple organ failure ( one case ) .

体外循环心内直视手术后并发心脏压塞13例报告

Cardiac tamponade after open heart surgery : a report of 13 cases

介入性治疗中急性心脏压塞的早期识别和急诊处理

Early recognition and urgent management of acute cardiac tamponade in interventional procedures

大量心包积液和心脏压塞的诊断和治疗

Diagnosis and management of cardiac tamponade and pericardial effusion

重视急性心脏压塞的及时诊断及有效处理

Prompt diagnosis and treatment of acute cardiac tamponade should be kept in mind

经皮冠状动脉介入性治疗并发急性心脏压塞15例的诊断与处理

Diagnosis and management of 15 cases of acute cardiac tamponade complicating percutaneous coronary intervention

胸内活动性出血及急性心脏压塞必须急诊剖胸手术。

An emergency thoracotomy is required to intra-thoracic exsanguinating hemorrhage or acute pericardial tamponade .

积极仔细地处理急性心脏压塞

Manage acute cardiac tamponade actively and carefully

心脏压塞

Service by Medium Pressure Gas Cardiac tamponade

术后2例均有低心排表现，1例出现迟发心脏压塞，经心包开窗引流后缓解。

Postoperative low output syndrome occurred in both patients , one followed delayed cardiac tamponade .

心脏压塞2例；

Cases of cardiac tamponade ;

介入性操作穿破冠状静脉窦导致心脏压塞的床旁体征和处理

Bed-side physical signs and treatment of cardiac tamponade due to perforation of coronary sinus during cardiac interventional procedure

其中，部分与学习曲线有关，但各种操作都可能导致心脏压塞。

Some were related to learning-curve , but any kind of cardiac intervention could probably lead to cardiac tamponade .

严重并发症包括心脏压塞4例（0.97%），心包穿刺引流后痊愈；

Severe complications included 4 cases of pericardial tamponade ( 0.97 % ) and 3 cases of stroke ( 0.73 % ) .

方法回顾分析我院1993～2003年10年间行冠心病介入性治疗并发心脏压塞的病例。

Methods Retrospective analysis of the cases with acute cardiac tamponade after coronary interventional therapy from 1993 to 2003 in our hospital .

术中2例发生心脏压塞，1例左上肺静脉狭窄60%。

There were 2 cases with cardiac tamponade and 1 case with 60 % stenosis of the right superior PV associated with the procedure .

结论在介入性治疗中，急性心脏压塞的早期识别和果断处理是成功救治病人的关键。

Conclusion During the procedure of cardiac intervention , early recognition and urgent treatment of acute cardiac tamponade are the key to save the patients .

心脏压塞的发生率A型高于B型，但差异无统计学意义。

The occurrence rate of cardiac tamponade in type A was higher than that of in type B , but there was no statistic difference .

方法报告介入性操作相关的急性心脏压塞18例，约占同期进行心脏介入性治疗病例的036%。

Methods The acute cardiac tamponade occurred on 18 cases during from January 1984 to March 2003 , which presented 0.36 % of all cardiac intervention procedures .

总的并发症发生率为7.48%，严重并发症如心脏压塞和肺静脉狭窄3.19%。

Overall rate of complication was 7.48 % , Severe complications , such as pericardial tamponade and pulmonary vein stenosis only account for 3 . 19 % .

组2术后出现二尖瓣返流Ⅱ级和Ⅲ级、急性心脏压塞的比例比组1少，分别为14.3%比28.2%，P<0.05；

The incidence of post-operational mitral valve regurgitation ( MVR ) and pericardiac tamponade was lower in group 2 compared with group 1 ( P < 0.05 ) .

同时中到大量的心包积液常易导致心脏压塞，及时诊断及处理心脏压塞将在最大程度上挽救患者生命。

Moderate to large amount of pericardial effusion always leads to cardiac tamponade , timely diagnosis and treatment of cardiac tamponade will save the lives of patients as possible as we can .

结论：二尖瓣球囊扩张风险大，心脏压塞是最危险、最常见的并发症之一，故加强术前准备，密切术中配合，及时抢救尤为重要。

Conclusion PBMV operation takes high risk , and the heart jam is the most dangerous and common complication , so it is critical to strengthen the pre-operation preparation , prompt rescue and appropriate nursing .

本文报道手术后并发心脏压塞13例，其中急性心脏压塞10例，延期心脏压塞3例，发生率为1.3%。

From Jan 1981 to June 1987 , cardiac tamponade occurred in 13 cases ( 1.3 % ) out of 992 open heart operations . Ten cases were of acute type and the other 3 delayed type .

心脏介入术并发心脏压塞的原因及处理

Cause analysis and management of cardiac tamponade duo to interventional procedure

心脏介入治疗并发心脏压塞的临床分析

Manifestation and management of cardiac tamponade in cardiac interventional therapy

心脏手术后延迟性心脏压塞的诊断与治疗

Diagnosis and Therapy of Delayed Cardiac Tamponade after Heart Surgery