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  • Title: [Percutaneous tubing and drainage for the diagnosis and treatment of malignant pericardial effusion].
    Author: Li Y, Zhou J, Zhang J.
    Journal: Zhonghua Zhong Liu Za Zhi; 2000 Jan; 22(1):67-9. PubMed ID: 11776605.
    Abstract:
    OBJECTIVE: To insert a tube into pericardial cavity as an emergent measure of diagnosis and treatment in patients with malignant pericardial effusion. METHODS: Pericardial puncture was followed by insertion of drainage tube (diameter = 1.8 mm) through the puncture needle. The effusion collected was examined for cancer cells. After drainage, chemotherapeutic agents were administered. Four hours later, drainage was continued for 2 days (< or = 30 ml pericardial fluid drained in 24 hr) and the tube was removed. RESULTS: In 34 cases with malignant pericardial effusion, tube draining was successful to relieve cardiac temponade within 15-60 minutes. Clots were present in 91.2% of the cases and cancer diagnosis was confirmed in all of them. The cytologic diagnosis of effusion was positive in 61.8%, and the cyto-pathologic typing of clots was 81.0%. The difference was statistically significant. When the results of the 2 examinations were put together, the positive rate increased to 94.1%. CONCLUSION: Tube drainage of malignant pericardial effusion is useful in diagnosis and emergency treatment.
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