心包填塞

体外循环术后急性心包填塞的预防和治疗

Prevention and treatment of postoperative acute cardiac tamponade after CPB surgery

外伤性迟发性心包填塞的诊断及治疗

Diagnosis and Treatment of Traumatic Delayed Pericardial Tamponade

目的：分析和探讨冠心病介入治疗（PCI）并发急性心包填塞（ACT）的原因、诊断和处理方法。

Objective : To analyze the cause , diagnosis and experience during the treatment of acute cardiac tamponade ( ACT ) in percutaneous coronary intervention .

两组间其他并发症如非Q波心肌梗死、冠状动脉穿孔、心包填塞等差异亦无显著性。

No differences between the 2 groups were found in other complications such as non Q-wave MI , coronary artery perforation and cardiac tamponade requiring pericardiocentesis .

结果除一只犬因房间隔穿刺致心包填塞于术后8h死亡，其余均顺利完成试验。

Results All except one canine completed the experiment .

本组3例患者并发急性心包填塞，其中2例为术后迟发性心包填塞；3例并发急性非Q波性心肌梗死，其中1例出现心力衰竭。

As a result , 3 cases were complicated with acute pericardial tamponade , 2 of whom developed delayed one and 3 with non Q-wave myocardial infarction , one of whom developed cardiac failure .

重要并发症包括：急性心包填塞9例、Ⅰ~Ⅱ度MR10例、原有Ⅰ~Ⅱ度MR程度不同地加重者9例、脑血栓栓塞1例、感染性休克1例。

The other important complications included acute pericardial tamponade in 9 cases , brain arterial thromboembolism and infection shock in 1 case respectively .

B组的并发症发生率除急性心包填塞、动脉栓塞、呼吸骤停和死亡与A组差异无统计学意义（P>0.05）外，其他并发症发生率均显著低于A组。

Compared with group A , the incidence rate of complications was significantly less in group B , but the incidence rate of pericardial tamponade , arterial embolism , respiration ceases and death has no significant difference between two groups ( P > 0.05 ) .

术后15d再次发生供心供肾急性排斥反应，导致心脏肾脏破裂，急性心包填塞。

In 15 d postoperatively , re operation was performed to relieve pericardial tamponade and perirenal hematoma resulted from acute rejection of the heart and kidney .

延迟性心包填塞发生于术后4d，其PaO2进行性下降，CVP进行性升高（P<005）。

Patients whose delayed pericardial tamponade occurred about the 4th day after operation and who appeared processing descent of PaO 2 and augment of CVP ( P < 0 05 ) .

心血管介入诊疗致急性心包填塞原因分析

The analysis of acute pericardial tamponade caused by cardiac intervention

急诊床旁经胸超声心动图诊断自发性心包填塞

Bedside emergency transthoracic echocardiography in diagnosis of self-induced cardiac tamponade

脐静脉插管导致的急性心包填塞和心包积液

Cardiac tamponade and pericardial effusion due to venous umbilical catheterization

全组无纵隔感染及急性心包填塞并发症。

No complications of mediastinal infection or acute pericardial tamponade were found .

心脏介入治疗合并急性心包填塞的识别与处理（摘要）

Identification and Treatment of Acute Cardiac Tamponade during Cardiac Intervention ( Abstract )

急性心包填塞25例临床分析

Clinical analysis of acute pericardial tamponade in 25 patients

心脏瓣膜置换术后延迟性心包填塞的诊治分析

The analyzing of diagnosis and therapeutics of delayed cardiac tamponade after cardiac valve replacement

心脏直视术后纵隔感染及急性心包填塞的预防与胸腔引流的体会

Thoracic drainage to prevent mediastinal infection and acute pericardial tamponade after open heart surgery

射频消融术并发急性心包填塞一例

Acute pericardial effusion due to radiofrequency catheter ablation

未出现空气栓塞、心包填塞和肿瘤播散。

No patient presented air embolism , cardiac tamponade and the tumor spreads or die .

正确的房间隔穿刺技术是预防心包填塞的关键。

Proficient atrium septal puncture technique is key for preventing the occurrence of pericardial tamponade .

结果：全组术后早期死亡8例，死亡率7%，死亡原因为心律失常3例，低心排3例，呼衰1例，急性心包填塞1例。

Results : Eight cases died in this group , the total mortality was 7 % .

先天性心脏病心脏直视术后迟发性心包填塞的诊治

Diagnosis and Treatment of Late Cardiac Tamponade after Open Heart Surgery in Children with Congenital Heart Disease

术后死于心包填塞1例，死亡率为4.4%；

One case died of acute cardiac tamponade after operation . The death rate was 4.4 % .

心包填塞1例；

Case of pericardial tamponade ;

颈静脉怒张、心音低沉、及奇脉提示心包填塞。

Cardiac tamponade is suggested by jugular venous distention , muffled heart sounds , and a paradoxical pulse .

但随着体重指数降低，瓣膜置换患者更易发生出血、心包填塞行再次手术。

Patients with lower body mass index would be more susceptible to postoperative bleeding / tamponade after valve replacement .

治愈、好转25例，另3例，分别死于急性心包填塞，风湿性全心炎、心功能不全、呼衰、纵隔肿瘤广泛转移。

Of the28 patients , 25 were cured . 3 died from their underlying diseases and acute cardiac tamponade .

早期手术死亡率为7.6%（27／356），低心排综合征、室颤、呼衰和心包填塞是死亡的主要原因。

Low cardiac output , ventricular fibrillation , respiratory failure and cardiac tamponade were the main causes of death .

报告938例各种心动过速射频消融术中遇到的12例急性心包填塞患者。

Cases of acute cardiac tamponade encountered in radiofrequency catheter ablation of 938 cases of different tachycardias were reported .