Abstract
Subject: To study the clinical effect of subxiphoid indwelling catheter into pericardial cavity for the treatment of refractory tuberculous pericardial effusion by ultrasound guided for the whole process and real time.
Methods: 51 patients with refractory tuberculous pericardial effusion were given 1~2 kinds of antituberculotic never used before in each case to ALP [amikacin sulphate(A), Levofloxacin(L), Sodium Aminosalicylate(P)], and subxiphoid inserted catheter into pericardial cavity with drainage and administered drugs (isoniazid, rifampicin, dexamethasone) regularly. The treating courses spend a mean 3 months.
Results: Pericardiocentesis in 51 patients were successfully without complication. The catheters were remained for 21-60 days, with an average of 32±3 days. The fluid volume was 1700-3800ml, with an average of 2400±55ml. The patients’ uncomfortable symptom all disappeared, and pericardial effusion was absorbed completely. Nobody get constrictive pericarditis.
Conclusion: It is a safe treatment of subxiphoid indwelling catheter into pericardial cavity by ultrasound-guided to therapy refractory tuberculous pericardial effusion, which can avoid myocardial trauma and drainage continuous to drain the pericardial effusions. It is also convenient to irrigation and administering drugs.
Keywords: Ultrasonography; Pericardial effusion; Drainage; Catheter, Indwelling