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随着心脏介入性诊断和治疗的广泛开展,其操作不当所致心肌或血管穿孔形成的心脏压塞已是该项技术操作的严重并发症之一。介入性心脏压塞分为急性心脏压塞和迟发性心脏压塞。有心脏介入性操作史者同时又有心脏压塞的临床表现,一般不难诊断。关键在于临床医生对该并发症要有强烈的警觉性,超声多普勒对可疑病例有确诊价值。治疗方法:(1)心包穿刺放液或置管引流。(2)开胸开窗减压或行修补术。该并发症若能早期诊断并及时处理,一般预后尚好。
With the extensive interventional cardiac diagnosis and treatment, cardiac tamponade caused by improper operation of cardiac muscle or blood vessel perforation has become one of the serious complications of the operation of this technique. Interventional cardiac tamponade is divided into acute cardiac tamponade and delayed cardiac tamponade. There is a history of interventional cardiac surgery at the same time the clinical manifestations of cardiac tamponade, is generally not difficult to diagnose. The key is that clinicians should have strong vigilance on this complication. Ultrasound Doppler has definite value for suspicious cases. Treatment: (1) pericardiocentesis or catheter drainage. (2) open chest window decompression or repair line. If the complications of early diagnosis and timely treatment, the general prognosis is still good.