【摘要】 目的 寻找一种高效、安全稳妥的心包穿刺引流术。方法 2002年1月～2005年1月甘肃省华煤集团安口医院应用彩超定位引导对各种病因所致的心包积液20例进行心包穿刺置导管引流。对心包积液进行病理检验并开展针对性注药治疗后，积液减少或消失后观察1～2天拔除。结果 20例心包积液都得到有效引流，临床有效率100%。尤其对心包壁层增生、变厚、异常坚韧者通过彩超动态观察针尖位置更利于术者力度和手感，保证穿刺成功率。结论 应用彩超定位引导进行心包穿刺并置引流管是一种安全、高效、精确度非常高的方法。

    【关键词】 彩超定位引导下；心包积液；心包穿刺

    【Abstract】 Objective The purpose looks for one kind high-efficiently,safe method for pericardium puncture drainage.Methods 2002-01～2005-01 Gansu Province Group,Coal of China,our hospital use color ultrasound for varous kinds of cause of disease pericardium,the 20 cases of liquid carry on pericardium effusion puncture put pipe guide to lead to drainage.After accumulating the liquid drainaged and carrying on pathology and examining and treating observe 1～2d to pull out after accumulating the liquid and reducing or disappearing.Results 20 pericardium accumulate liquid get effective drainage,clinical efficient 100%.Especially to one floor of hyperplasia of pericardium wall,become thick,guarantee puncture success rate.Conclusion Use color us carry on pericardium puncture and put drainage tube is a safe,high-efficient,accuracy method. ......