郧阳医学院学报
鄖暘醫學院學報
운양의학원학보
JOURNAL OF YUNYANG MEDICAL COLLEGE
2009年
3期
250-252,255
,共4页
邓妍妍%张茂洪%高润祥%陈明%熊毅%沈建明%田少江%王黎萍%李骏峰
鄧妍妍%張茂洪%高潤祥%陳明%熊毅%瀋建明%田少江%王黎萍%李駿峰
산연연%장무홍%고윤상%진명%웅의%침건명%전소강%왕려평%리준봉
血液透析%涤纶环导管%并发症%透析充分性
血液透析%滌綸環導管%併髮癥%透析充分性
혈액투석%조륜배도관%병발증%투석충분성
Hemodialvsis%Cuffed catheter%Complication%Dialysis adequacy
目的:探讨右颈内静脉留置涤纶环导管在维持性血液透析中的应用价值.方法:为41例维持性血液透析患者留置右颈内静脉涤纶环双腔导管作为血透用血管通路并观察其临床应用情况.结果:(1)导管留置时间(14.3±10.5)月,经导管血透时血流量200～300 mL/min;(2)导管使用终点12例次,导管退出时平均使用时间(8.2±6.1)月;(3)术后渗血或血肿发生率43.9%,导管位置不良发生率2.4%;(4)平均感染率0.586次/100导管日,导管血栓发生率31.7%;(5)尿素下降比例为(71.5±0.06)%,尿素清除指数(KT/V)为1.42±0.19.结论:对维持性血液透析患者,右颈内静脉留置涤纶环导管是一种安全有效的血管通路方式.
目的:探討右頸內靜脈留置滌綸環導管在維持性血液透析中的應用價值.方法:為41例維持性血液透析患者留置右頸內靜脈滌綸環雙腔導管作為血透用血管通路併觀察其臨床應用情況.結果:(1)導管留置時間(14.3±10.5)月,經導管血透時血流量200～300 mL/min;(2)導管使用終點12例次,導管退齣時平均使用時間(8.2±6.1)月;(3)術後滲血或血腫髮生率43.9%,導管位置不良髮生率2.4%;(4)平均感染率0.586次/100導管日,導管血栓髮生率31.7%;(5)尿素下降比例為(71.5±0.06)%,尿素清除指數(KT/V)為1.42±0.19.結論:對維持性血液透析患者,右頸內靜脈留置滌綸環導管是一種安全有效的血管通路方式.
목적:탐토우경내정맥류치조륜배도관재유지성혈액투석중적응용개치.방법:위41례유지성혈액투석환자류치우경내정맥조륜배쌍강도관작위혈투용혈관통로병관찰기림상응용정황.결과:(1)도관류치시간(14.3±10.5)월,경도관혈투시혈류량200～300 mL/min;(2)도관사용종점12례차,도관퇴출시평균사용시간(8.2±6.1)월;(3)술후삼혈혹혈종발생솔43.9%,도관위치불량발생솔2.4%;(4)평균감염솔0.586차/100도관일,도관혈전발생솔31.7%;(5)뇨소하강비례위(71.5±0.06)%,뇨소청제지수(KT/V)위1.42±0.19.결론:대유지성혈액투석환자,우경내정맥류치조륜배도관시일충안전유효적혈관통로방식.
Objective To investigate the value of cuffed catheter indwelling in fight internal jashlar vein in maintenance of hemodialysis.Methods Forty-one cRfles were implanted dual-lumen cuffed catheters in fight jugular vein as vascular accegs,and the clinical efficacy and complications were observed.Results(1)The indwelling time of the catheters were(14.3±10.5)months,the blood flow was from 200 mL/min to 300 mL/min;(2)The endpoint of catheters was 12 ease-times,the using time of catheters were(8.2±6.1)months at the endpoint;(3)The incidence of hemorrhage or haematoma was 439%.tlle rate of catheter malposition was 2.4%;(4)The average incidence of tlIe catheter related infection was 0.586 per 100catheters days and the incidence of catheter thrombosis was31.7%;(5)The decline rate of urea was(71.5±0.06)%and the KT/V(urea)wag 1.42±0.19 in 41 cuffed catheter cases.Conclusion Cuffed catheter in right internal jugular vein is a safe and effeetive vascular acceeos in maintenance of hemedialysis.
