中国介入影像与治疗学
中國介入影像與治療學
중국개입영상여치료학
CHINESE JOURNAL OF INTERVENTIONAL IMAGING AND THERAPY
2011年
5期
398-340
,共-57页
刘倚河%毕建民%刘舜辉%廖瑞真%张蓉%吴秀艳
劉倚河%畢建民%劉舜輝%廖瑞真%張蓉%吳秀豔
류의하%필건민%류순휘%료서진%장용%오수염
超声检查%右颈内静脉%导管%留置
超聲檢查%右頸內靜脈%導管%留置
초성검사%우경내정맥%도관%류치
Ultrasonography%Right internal jugular vein%Catheters,indwelling
目的 探讨超声引导下经皮右颈内静脉穿刺置管术在血液透析中的应用,分析超声引导穿刺的方法、注意事项及并发症预防.方法 对297例慢性肾功能不全尿毒症患者进行超声引导下经皮右颈内静脉穿刺置管术,按照提高一次穿刺成功率的技术要点进行操作.结果 本组患者均获得穿刺置管成功,其中244例1次穿刺成功(244/297,82.15%),30例第2次穿刺成功(30/297,10.10%),23例第3次穿刺成功(23/297,7.74%).并发症发生率为15.15%(45/297),31例因导管贴壁导致引血不畅流量不足.结论实时超声引导在右颈内静脉穿刺置管术中的应用,可极大提高穿刺的一次成功率,有效降低并发症的发生.
目的 探討超聲引導下經皮右頸內靜脈穿刺置管術在血液透析中的應用,分析超聲引導穿刺的方法、註意事項及併髮癥預防.方法 對297例慢性腎功能不全尿毒癥患者進行超聲引導下經皮右頸內靜脈穿刺置管術,按照提高一次穿刺成功率的技術要點進行操作.結果 本組患者均穫得穿刺置管成功,其中244例1次穿刺成功(244/297,82.15%),30例第2次穿刺成功(30/297,10.10%),23例第3次穿刺成功(23/297,7.74%).併髮癥髮生率為15.15%(45/297),31例因導管貼壁導緻引血不暢流量不足.結論實時超聲引導在右頸內靜脈穿刺置管術中的應用,可極大提高穿刺的一次成功率,有效降低併髮癥的髮生.
목적 탐토초성인도하경피우경내정맥천자치관술재혈액투석중적응용,분석초성인도천자적방법、주의사항급병발증예방.방법 대297례만성신공능불전뇨독증환자진행초성인도하경피우경내정맥천자치관술,안조제고일차천자성공솔적기술요점진행조작.결과 본조환자균획득천자치관성공,기중244례1차천자성공(244/297,82.15%),30례제2차천자성공(30/297,10.10%),23례제3차천자성공(23/297,7.74%).병발증발생솔위15.15%(45/297),31례인도관첩벽도치인혈불창류량불족.결론실시초성인도재우경내정맥천자치관술중적응용,가겁대제고천자적일차성공솔,유효강저병발증적발생.
Objective To explore the clinical application of ultrasound guided percutaneous right internal jugular vein catheterization in hemodialysis,and to analyze the methods,precautions and prevention of complications of puncture.Methods Totally 297 patients of chronic renal insufficiency with uremia underwent ultrasound guided percutaneous right internal jugular vein catheterization according to technical points of increasing the success rate of puncture.Results The total successful rate of puncture was 100%.The first puncture succeeded in 244 patients (244/297,82.15 %),the second in 30 (30/297,10.10%) and the third in 23 (23/297,7.74%) patients.The complication rate was 15.15% (45/297).Poor adherence of catheter led to cited blood difficultly and inadequate flow in 31 patients.Conclusion Ultrasound guidance can greatly improve the success rate of puncture in percutaneous right internal jugular vein catheterization,while reduce the incidence of complications.