Tus Sau: William Ramirez
Hnub Kev Tsim: 23 Lub Cuaj Hli Ntuj 2021
Hloov Hnub: 16 Lub Kaum Ib Hli Ntuj 2024
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"Pericardiocentesis During Cardiopulmonary Resuscitation" by Dr. Traci Wolbrink for OPENPediatrics
Daim Duab: "Pericardiocentesis During Cardiopulmonary Resuscitation" by Dr. Traci Wolbrink for OPENPediatrics

Pericardiocentesis yog txheej txheem uas siv ib rab koob tshem tawm cov kua dej tawm ntawm lub hnab pericardial. Nov yog cov ntaub so ntswg uas ncig lub plawv.

Cov txheej txheem feem ntau tau ua nyob rau hauv chav ua txheej txheem tshwj xeeb, xws li kuaj cov hlab plawv ntsig. Nws tseem yuav ua tau nyob ntawm tus neeg mob lub tsev kho mob. Tus kws saib xyuas kev noj qab haus huv yuav tso ib txoj IV rau hauv koj txhais caj npab yog tias yuav tsum tso dej los yog tshuaj rau txoj leeg ntshav. Piv txwv li, koj tuaj yeem raug muab tshuaj yog tias koj lub plawv dhia qeeb lossis koj cov ntshav siab poob thaum qhov txheej txheem.

Tus kws kho mob yuav ntxuav ib thaj chaw hauv qab lossis ntxiv rau ntawm lub mis lossis hauv qab ntawm lub txiv mis. Tshuaj loog (tshuaj loog) yuav siv rau thaj chaw.

Tus kws kho mob yuav muab ib rab koob thiab coj mus rau hauv cov ntaub so ntswg uas nyob ib ncig ntawm lub plawv. Feem ntau, echocardiography (ultrasound) yog siv los pab tus kws kho mob pom lub koob thiab ib qho kua dej tawm hauv tsev. Kev siv hluav taws xob electrocardiogram (ECG) thiab xoo hluav taws xob (fluoroscopy) kuj tseem siv tau los pab nrog txiav txim.

Thaum rab koob tau mus txog qhov chaw raug, nws raug tshem tawm thiab hloov nrog lub raj hu ua catheter. Kev tso dej tawm hauv lub raj no rau hauv cov thawv. Feem ntau, cov pa hluav taws xob pericardial catheter tseem tshuav rau hauv qhov chaw vim li cov dej xau yuav txuas ntxiv rau ob peb xuab moos.


Xav tau kev phais mob hauv plab yog tias qhov teeb meem nyuaj los kho lossis rov qab los. Qhov no yog qhov kev ua kom ntau ntxiv uas cov pericardium tau nqus rau hauv lub hauv siab (pleural) kab noj hniav. Hloov lwm txoj kev, cov kua dej yuav raug hno mus rau hauv cov kab noj hniav peritoneal, tab sis qhov no tsis tshua pom. Txoj kev ua no yuav tsum tau ua nyob rau hauv kev ua kom loog.

Koj yuav tsis tuaj yeem noj lossis haus rau 6 teev ua ntej kev sim. Koj yuav tsum kos npe rau tsab ntawv tso cai.

Koj tuaj yeem hnov ​​muaj zog thaum cov koob nkag. Qee tus neeg muaj mob hauv siab, uas yuav tau siv tshuaj kho mob.

Qhov kev ntsuas no tuaj yeem ua kom tshem tawm thiab kuaj cov kua dej uas nias rau lub siab. Nws yog feem ntau txhawm rau txhawm rau pom qhov ua rau mob ntev ntev los yog rov ua dua li qub.

Nws kuj tseem yuav ua tau los kho tus mob tamponade, uas yog ib qho mob ntawm lub neej.

Muaj feem ntau muaj qhov me me ntawm cov ntshiab, cov nplaim xim ua kua nyob hauv qhov chaw pericardial.

Kev tshawb pom qhov txawv txav tuaj yeem qhia pom qhov ua rau ntawm cov phom sij pericardial, xws li:


  • Mob Cancer
  • Mob perforation
  • Kev raug mob plawv
  • Congestive lub plawv tsis ua haujlwm
  • Mob rau hlwv
  • Tsis hlauv
  • Kab mob
  • Kev sib tawg ntawm lub ventricular aneurysm

Kev phom sij kuj yuav muaj xws li:

  • Ntshav
  • Lub ntsws ntsws tawg
  • Plawv nres
  • Kab mob (pericarditis)
  • Lub plawv dhia tsis xwm yeem (arrhythmias)
  • Qhov mob caj dab tuaj ntawm lub siab, mob ntshav txhaws, mob ntsws, siab, lossis lub plab
  • Pneumopericardium (huab cua nyob hauv lub hnab pericardial)

Pericardial kais; Percutaneous pericardiocentesis; Pericarditis - pericardiocentesis; Pericardial effusion - pericardiocentesis

  • Plawv - saib ua ntej
  • Pericardium

Hoit BD, Oh JK. Cov kab mob Pericardial. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 68.


Lewinter MM, Imazio M. Cov kab mob Pericardial. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 83.

Mallemat HA, Tewelde SZ. Pericardiocentesis. Hauv: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Chaw Kho Mob hauv Xwm Ceev Kho Mob thiab Mob Zoo MobCov. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 16.

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