Pericardial puncture drainage and treatment measures related problems_0.docVIP

 PAGE \* MERGEFORMAT 23 Pericardial puncture drainage and treatment measures related problems [Keywords:] pericardial effusion drainage of pericardial puncture complications Pericardial effusion, such as rapid development, fluid volume, can cause cardiac tamponade and endanger the lives of patients. Methods of treatment of pericardial effusion pericardial puncture, percutaneous balloon pericardial expansion to open surgery, pericardial catheterization, sword pericardial fenestration, the pleural and pericardial pericardial fenestration partial nephrectomy [1]. For the first choice for critically ill patients tend to pericardial puncture drainage. previous pericardial puncture is a dangerous technique, with the two-dimensional B-positioning and guiding the fluid puncture in the application of this technology has made significant safety and reliability [2]. In recent years, treatment of pericardial puncture and drainage of pericardial effusion reported increased efficacy and safety must also be more fully . But the complex and treatment will inevitably encounter unexpected problems, there are still many complications and even deaths reported [3]. therefore pericardial puncture drainage of the “difficult” issue, the popular attention and clinicians attention on the literature review are as follows: 1, the indications of pericardial catheter drainage Various causes of pericardial effusion, confirmed by two-dimensional B-right ventricular anterior wall and apex of the parietal and visceral significant liquid dark area, are indications of disease associated with cardiac tamponade. Operating physician in person before the puncture observe the distribution of liquid dark area. checks and puncture in patients with exactly the same position as far as possible, changes in posture can lead to the width and depth of the liquid changes affecting the puncture drainage of security. When the two-dimensional cardiac diastolic B-liquid dark area lt;10ml, the drainage