干性心包穿刺术中损伤冠状动脉致心脏压塞1例Cardiac tamponade secondary to coronary artery injury during dry pericardiocentesis:a case report
左嵩,龙德勇,薄小雯,甄雷,蒋晨曦,桑才华,董建增,马长生
摘要(Abstract):
干性心包穿刺术作为建立心外膜通路的关键技术,自1996年首次报道至今已广泛应用于室性心动过速等存在心外膜通路介导的复杂心律失常的治疗之中。近年来,随着室性心律失常消融在全国的逐步推广及普及,该技术临床需求日益增大。然而,干性心包穿刺术操作极富挑战性,常遇到穿刺操作相关并发症,对患者的生命安全造成了巨大威胁。本文报道1例干性心包穿刺时损伤冠状动脉分支导致心脏压塞的病例,通过及时给予冠状动脉内球囊扩张进行压迫止血,成功解除了患者的生命危险,为将来临床中出现相似病例的处理提供宝贵的临床经验和依据。
关键词(KeyWords): 干性心包穿刺;室性心动过速;心脏压塞
基金项目(Foundation): 国家重点研发计划课题项目(2016YFC1301002、2016YFC0900901);; 国家自然科学基金项目(82000322)
作者(Author): 左嵩,龙德勇,薄小雯,甄雷,蒋晨曦,桑才华,董建增,马长生
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