关键词: 结核,心包, 心包穿刺术, 中心静脉留置导管

Abstract: Objective To study the clinical value of detained central venous catheter in the treatment of tuberculous pericarditis, and to discover a new approach for preventing constrictive pericarditis. Methods Seventy-six initial treatment patients with tuberculous effusive pericarditis were randomly divided into A, B groups, given regular anti-tuberculous therapy. Group A received the treatment of depositing a central venous catheter in pericardial cavity for drainabe therapy and intrapericardial injection. Group B received the treatment of removing fluids from the pericardial cavity with pericardiocentesis intermittently and intrapericardial injection. Results There are significant difference in the time of the symptom disappearing, defervescence, pericardial effusion disappearing. Conclusion It might be feasible and safe to drain a lot of hydropericardium by pericardiocentesis and indwelling catheter. The catheter drainage might reduce the happening of constrictive pericarditis.

Key words: Pericarditis tuberculous, Pericardiocentesis, Central venous catheterization