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引用次数: 0
摘要
人工胸腔积液(APL)已被描述为图像引导肝穹窿活检本文证明APL也适用于经皮超声引导下的心包穿刺。200例接受超声引导下心包穿刺术(UGP)的患者中约有35例发生偶发性左胸腔积液(PE)。在这些病例中,在超声直接引导下通过胸膜液接近心包。胸腔积液产生的空间类似于气胸提供的视频辅助胸腔镜手术(VATS)的手术野。5例无左侧胸腔积液的患者没有合适的经皮穿刺部位,在左侧胸膜内灌注500 ml ~ 1000 ml无菌生理盐水,目的是改善心包穿刺和显像。大部分积液被完全排出。在200多例UGP病例中,作者未出现麻醉或出血并发症。左侧胸腔积液为超声引导心包穿刺提供了方便的声窗。在胸膜内注入生理盐水,形成人工胸膜积液。后侧心包积液适用此技术。改善视觉效果可以减少并发症,提高患者安全性。
期刊介绍:
Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.