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需要进行心包穿刺和引流的心包积液患者的临床特点分析论文
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than the malignant group (P0.01). No singnificance differences in the clinical
characteristics (as: gender, fever, hemoglobin, blood sedimentation, blood lactate
dehydrogenase and adenylate deaminase) and the results of routine and biochemistry
studies(like: lactate dehydrogenase and adenylate deaminase) in the pericardial fluid
between tuberculous and malignant groups were found. Of the 18 patients undergoing
cardiac catheterization, 10 cases had undergone catheter ablation for tachycardia and
6 cases had undergone percutaneous coronary intervention. The radio of the iatrogenic
pericardial effusion complicated by catheter ablation for tachycardia was higher in female
than male. Pericardiocentesis and drainage was effective in the 9 patients who underwent
catheter ablation, and the remaining 9 patients underwent surgical intervention after
pericardiocentesis and drainage. All 15 patients with acute myocardial infarction died
during hospitalization.
Conclusion: Pericardial effusions requiring pericardiocentesis and drainage were exudates
and bloody, which were mainly caused by malignancy and tuberculosis. However, the
incidence of iatrogenic pericardial effusion and acute myocardial infarction has been
increasing and should not be ignored. Pericardiocentesis and drainage were a effective
intervention in salvage and treatment, but mortality of acute myocardial infarction
combined with pericardial effusion is sky-high.
Key words: Malignant pericardial effusion, Tuberculosis pericardial effusion, Iatrogenic
pericardial effusion, Pericardiocentesis, Pericardial sac drainage
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