Treatment of uremic pericardial effusion by local steroid instillation via subxiphoid pericardiotomy.

S Popli, T S Ing, J T Daugirdas, G S Stroka, E O Osanloo, R M Vilbar, R Pifarre, W P Geis
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引用次数: 10

Abstract

Seven maintenance hemodialysis patients suffering from intractable uremic pericardial effusion were treated with instillation of a non-absorbable steroid, triamcinolone hexacetonide, into the pericardial sac via a large-bore catheter. The latter was placed under direct vision by subxiphoid pericardiotomy. All patients responded to the treatment while complications of the procedure were few and minor.

剑下心包切开术局部注入类固醇治疗尿毒症心包积液。
7例患有顽固性尿毒症心包积液的维持性血液透析患者通过大口径导管向心包囊内灌注不可吸收的类固醇曲安奈德。后者通过剑突下心包切开术置于直视下。所有患者对治疗均有反应,手术并发症少且轻微。
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