Travmada Girişimler: Perikardiyosentez
Özet
Perikardiyal efüzyon ve kalp tamponadı, klinik olarak geniş bir yelpazede değişkenlik gösteren bir hastalık spektrumunu temsil eder. Perikardiyal efüzyonun kardiyovasküler sonuçları, sıvının miktarına, birikme hızına ve hastanın fizyolojik rezervine bağlıdır. Acil drenaj, yalnızca hemodinamik bozukluğu olan hastalarda gereklidir. Hemodinamik çöküşle seyreden kalp tamponadı, perikardiyosentez veya cerrahi perikardiyotomi yoluyla acil perikardiyal drenaj için mutlak bir endikasyondur. Perikardiyal sıvı, her zaman perikardiyal kese içinde çevresel veya eşit şekilde dağılmayabilir. Ultrason, perikardiyal efüzyonu doğrulamanın en yaygın yöntemidir. Büyük efüzyonlarda hemodinamiği stabilize etmek için anında boşaltılacak efüzyon miktarını 500 mL'den az olmalı ve perikardiyal dekompresyon sendromunu önlemek amacıyla aniden boşaltmaktan kaçınılmalıdır.
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