How to treat heart effusion?

The heart is a powerful organ with multiple chambers inside, and each chamber has a clear division of labor. The heart will keep beating at all times and in all places, because the body needs blood circulation at all times to complete metabolism and other problems. The heart is prone to disease problems when it is under long-term excessive load. For example, the heart is prone to symptoms of fluid effusion. Let's take a look at how to treat fluid effusion in the heart.

1. Medical treatment

There is a lack of consensus on treatment options, and most of them depend on the personal experience of the therapist. Drug treatment includes the use of hormones, anti-inflammatory drugs, anti-tuberculosis drugs and other causative treatments. When there are no symptoms, the patient can be observed without medication.

Pericardiocentesis can relieve symptoms and extract pericardial fluid for analysis to aid diagnosis and treatment, but its own therapeutic effect is not certain and it is no longer the main treatment method.

2. Surgical treatment

The purpose of surgical treatment is to relieve existing or potential pericardial obstruction, clear pericardial effusion, reduce the possibility of recurrence of pericardial effusion, and prevent late pericardial stenosis.

If the diagnosis is clear and drug treatment is ineffective, pericardial drainage and pericardiectomy can be performed for this disease.

2. Partial or complete pericardectomy and chest drainage through the chest cavity. This method can achieve complete drainage and has a low recurrence rate. Since more pericardium is removed, the sources of pericardial effusion and pericardial stenosis are reduced, so the surgical effect is accurate and reliable. However, the surgery causes significant damage and may lead to lung and incision complications.

Surgical procedure for partial or complete pericardectomy: It can be performed through a median sternotomy or through a left anterior or right lateral thoracotomy.

⑴ Partial resection: starting from the fold of the pericardium on the great blood vessels above and close to the diaphragm below; resection to the left and right sides reaches 1 cm in front of the phrenic nerves on both sides.

⑵Complete resection: starting from the fold of the pericardium on the great blood vessels above and ending at the midpoint of the diaphragmatic pericardium below; the right side is resected to 1 cm in front of the right phrenic nerve, and the left side is resected to the left pulmonary vein, taking care to preserve the left phrenic nerve and not damage it.