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目的:分析经皮冠状动脉介入治疗(PCI)并发急性心脏压塞的临床特点。方法:对1 143例冠心病患者行PCI术,确诊心脏压塞6例。除一般抢救治疗外,尽快采用常规心包穿刺抽液或中心静脉导管置入引流心包积血,必要时外科手术。结果:6例心脏压塞患者中5例行心包穿刺引流解除心脏压塞,其中1例引流后仍继续出血行外科修补术。1例病情危重死亡。结论:急性心脏压塞是PCI术后少见、严重并发症,及时发现和有效救治十分重要,应高度警惕,避免发生严重后果。
Objective: To analyze the clinical features of percutaneous coronary intervention (PCI) complicated with acute cardiac tamponade. Methods: One hundred and seventy-three patients with coronary heart disease underwent PCI and 6 patients were diagnosed with cardiac tamponade. In addition to the general rescue treatment, as soon as possible using conventional pericardiocentesis or central venous catheter drainage drainage, if necessary, surgery. Results: Of the 6 patients with cardiac tamponade, 5 patients underwent pericardiocentesis drainage to relieve cardiac tamponade. Among them, one patient continued bleeding after surgical drainage to undergo surgical repair. One patient was critically ill. Conclusions: Acute cardiac tamponade is a rare and serious complication after PCI. It is very important to find and effectively treat it in time. It should be highly vigilant to avoid serious consequences.