目的 探讨CT引导下穿刺引流心 包积液的应用效果及相关护理配合措施。 方法 以我院2013年6月～2015年6月就诊 的50例心包积液患者为研究对象，均行 CT引导下穿刺引流术，统计1次穿刺成功 率、并发症发生率，并比较穿刺前后患者 心率、血压等指标。结果 CT引导下穿刺 引流心包积液平均用时(16.5±1.0)min； 平均置管(5.5±1.0)d。1次穿刺成功率 100.0%；术后并发症发生率4.0%，其中皮 下出血1例，穿刺点渗液1例。所有患者超 声检查显示心脏压塞症状明显缓解。穿刺 后心率(HR)(86.6±9.5)次/min，较穿刺 前的(91.8±12.4)次/min明显下降，差 异有统计学意义(P＜0.05)。穿刺前后血 压、血氧饱和度(SpO2)比较差异无统计学 意义(P＞0.05)。结论 CT引导下穿刺引流 心包积液具有1次穿刺成功率高、并发症 少特点，围术期积极有效护理配合以减少 穿刺点渗液等并发症发生。

Objective To explore the application effect of CT guided puncture and drainage of pericardial effusion and related nursing coordination measures. Methods 50 cases of patients with pericardial effusion who were treated in our hospital from June 2013 to June 2015 were selected as the research objects. All patients underwent CT guided puncture and drainage. The success rate of once puncture and incidence of complications were statistically analyzed. The heart rate, blood pressure and other indexes were compared before and after puncture. Results The average time of CT guided puncture and drainage of pericardial effusion was (16.5±1.0) min, and average time of cathetering was (5.5+1.0)d. The success rate of once puncture was 100% and incidence of postoperative complications was 4%. There was 1 cases with subcutaneous hemorrhage and 1 case with puncture exudate. The uhrasonography showed that cardiac tamponade symptoms in patients were significantly relieved. After puncture, the heart rate (HR) (86.6±9.5) times/min was significantly lower than that before puncture [(91.8±12.4) times/min] (P<0.05). There was no significant difference in blood pressure and blood oxygen saturation (SpO2) before and after puncture (P>0.05). Conclusion CT guided puncture and drainage of pericardial effusion has the characteristics of high success rate of once puncture and fewer complications. Active and effective nursing care in perioperative period can be applied to reduce the occurrence of complications such as puncture exudate.