心包穿刺术对心包积液的病因诊断及治疗具有重要意义,但穿刺会带来不少合并症,严重者可因损伤冠状动脉或刺伤心肌引起死亡。我们于1980年1月至1990年12月作心包穿刺术10例36例次,无特殊并发症,现总结报告如下。临床资料 10例中男4例女6例,年龄32～68岁,平均50±11岁。病因为结核性心包积液3例,肿瘤性心包积液4例,急性化脓性心包炎、急性非特异性心包炎及原因不明各1例。病程:除原因不明例心悸病史1年外,余心悸、气短15～90天,平均29±24天。穿刺前心包积液量(以X线及超声提示为准):大量30例次,中至大量3例次,中等量2例次,少至中等量1例次。穿刺部位:剑突下7例次(19.4％),左前胸29例次(80.6％)。穿刺方法:剑突下取半坐卧位,在剑突与左肋弓缘夹角处与腹壁成30～45°角向上、稍向左 Pericardiocentesis is very important for the etiological diagnosis and treatment of pericardial effusion. However, puncture will bring a lot of comorbidities. In severe cases, the pericardial effusion may cause death due to injury to the coronary artery or stabbing the myocardium. We from January 1980 to December 1990 for pericardial puncture in 10 cases 36 cases, no special complications, are summarized as follows. Clinical data of 10 cases, 4 males and 6 females, aged 32 to 68 years, mean 50 ± 11 years. The cause of tuberculous pericardial effusion in 3 cases, 4 cases of neoplastic pericardial effusion, acute suppurative pericarditis, acute non-specific pericarditis and unexplained in 1 case. Course of disease: In addition to unexplained heart palpitations history of 1 year, Yu palpitations, shortness of breath 15 to 90 days, an average of 29 ± 24 days. Pericardial effusion before puncture (by X-ray and ultrasound prompts): a large number of 30 cases, medium to large number of 3 cases, the moderate amount of 2 cases, as little as 1 case of moderate. Puncture site: xiphoid in 7 cases (19.4%), left chest 29 cases (80.6%). Puncture method: Xiphoid take the supine position, at the angle between the xiphoid and left rib arch edge and the abdominal wall at an angle of 30 ~ 45 °, slightly to the left