Cardiac Dilatation In Rescue Hemopericardium And Blood Clot Caused By The Application Of The Patients With Acute Cardiac Tamponade

ObjectiveStudy application of pericardium reaming technique in "hemopericardium and acutecardiac tamponade caused by a blood clot" save the role of the patient.MethodsPericardial reaming is the hemopericardium and caused by a blood clot patients withacute cardiac tamponade, application of echocardiography diagnosis hemopericardiumwith blood clots. Application of echocardiography area before the heart take place forpuncture point positioning a liquid, ready to one-time subclavian vein puncture bag,immediately complete the area before the heart disinfection, drapes, with2%lidocaineanesthesia puncture site or does not require anesthesia,16puncture needle thorn intopericardium, back when only a few bloody fluid, determine the needlepoint in pericardialcavity, placing godet, exit the puncture needle, along the thread rod inserted into theexpansion to expand quickly pericardium, then exit the expansion rod and thread,pericardial expansion of hole has formed, can be repeatedly to complete2to3small holesthrough them.ResultWe have7cases of acute hemopericardium and clot causing tamponade shock patientnear death,1case without taking pericardium expanding treatment of patients with suddendeath, for the treatment of6cases take pericardium reaming, pericardial decompressioncan effectively, relieve pericardial tamponade, restore blood flow dynamics, buy time forsurgery effect a radical cure the primary affection.ConclusionPericardial reaming operation is the treatment of acute aortic dissection combined hemopericardium with blood clot to form effective method for acute cardiac tamponade,shall adopt emergency surgery, further the method of surgical treatment for the time.cardia-c dilatation is the treatment of acute myocardial infarction occurred hemopericardiumwith blood clots to form an effective approach to acute cardiac tamponade, recent usesurgical treatment is not recommended. Pericardium expanding tube and easy operation,quick operation, at the foot of the bed, echocardiography positioning is the best method,the expansion of2to3times.