Improved treatment of pericardial puncture and drainage of pericardial effusion after cardiac surgery_0.docVIP

 PAGE \* MERGEFORMAT 10 Improved treatment of pericardial puncture and drainage of pericardial effusion after cardiac surgery Of: Xie Xiaoyong, Zhang Fu, Jiang Yi, Fang Hengxiao, Chen Shengkui [Abstract] Objective To investigate the improved treatment of pericardial puncture and drainage of pericardial effusion after cardiac surgery and the safety. Methods of central venous puncture using disposable tubes, 36 cases of apical pathways pericardial effusion after cardiac surgery pericardial puncture drainage lines, respectively, Comparison of drainage before and after the patients breathing, heart rate, systolic blood pressure and mean arterial blood pressure changes, review 1 month after extubation cardiac ultrasound. The results of 35 patients after pericardiocentesis drainage catheter, the improvement or disappearance of difficulty breathing, heart rate slow down, arterial systolic and mean arterial pressure increased (P all lt;0.01), 1-month review once again echocardiography, no significant pericardial effusion, a routine part of the pericardial resection recovered. Conclusion The method is safe and effective, with no severe complications, for treatment of pericardial effusion after cardiac surgery, is worthy of clinical application. [Keywords:] pericardial effusion pericardial puncture heart surgery Pericardial effusion is a common complication of cardiac surgery, especially in delayed cardiac tamponade is a critical complication after cardiac surgery, pericardiocentesis and pericardial effusion after cardiac surgery is the treatment most commonly used method. I subjects treated with modified pericardial puncture pericardial effusion after cardiac surgery, and achieved good clinical results are reported below. 1 Materials and Methods 1.1 General Information Since January 2003 ~ January 2008 in our department pericardial effusion after cardiac surgery, 36 patients by clinical, X ray, two-dimensional ultrasound diagnosis more than a modera