医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
25期
48-49
,共2页
彩色多普勒%经外周静脉穿刺中心静脉置管%上肢深静脉血栓
綵色多普勒%經外週靜脈穿刺中心靜脈置管%上肢深靜脈血栓
채색다보륵%경외주정맥천자중심정맥치관%상지심정맥혈전
Color Doppler ultrasound%PICC%Upper extremity deep venous thrombosis
目的：探讨彩色多普勒血流超声在经外周静脉穿刺中心静脉置管（peripheral y inserted central cather, PICC）术后随访检查中的价值。方法收集2011年8月~2013年3月PICC术后运用彩色多普勒超声随访检查的PICC术后出现上肢症状的71例患者资料，进行总结分析。结果71例留置PICC患者中，45例导管位于右上肢，26例位于左上肢。16例发生上肢静脉血栓，11例位于右上肢，5例位于左上肢。胃肠道恶性肿瘤8例，肺部恶性肿瘤3例，乳腺恶性肿瘤3例，均为女性患者，恶性血液病2例。15例患者上肢静脉血栓经溶栓治疗均消失，1例患者出现双上肢静脉广泛栓塞，临床上怀疑合并肺血栓栓塞,后经手术与药物结合治疗血栓，得以治愈。结论彩色多普勒超声能短时间内准确、经济的判断上肢静脉血栓形成，观察血栓大小、形态及范围的变化，清楚的显示导管的位置以及状态，很大程度帮助临床判定PICC术后上肢静脉血栓的形成及指导治疗。
目的：探討綵色多普勒血流超聲在經外週靜脈穿刺中心靜脈置管（peripheral y inserted central cather, PICC）術後隨訪檢查中的價值。方法收集2011年8月~2013年3月PICC術後運用綵色多普勒超聲隨訪檢查的PICC術後齣現上肢癥狀的71例患者資料，進行總結分析。結果71例留置PICC患者中，45例導管位于右上肢，26例位于左上肢。16例髮生上肢靜脈血栓，11例位于右上肢，5例位于左上肢。胃腸道噁性腫瘤8例，肺部噁性腫瘤3例，乳腺噁性腫瘤3例，均為女性患者，噁性血液病2例。15例患者上肢靜脈血栓經溶栓治療均消失，1例患者齣現雙上肢靜脈廣汎栓塞，臨床上懷疑閤併肺血栓栓塞,後經手術與藥物結閤治療血栓，得以治愈。結論綵色多普勒超聲能短時間內準確、經濟的判斷上肢靜脈血栓形成，觀察血栓大小、形態及範圍的變化，清楚的顯示導管的位置以及狀態，很大程度幫助臨床判定PICC術後上肢靜脈血栓的形成及指導治療。
목적：탐토채색다보륵혈류초성재경외주정맥천자중심정맥치관（peripheral y inserted central cather, PICC）술후수방검사중적개치。방법수집2011년8월~2013년3월PICC술후운용채색다보륵초성수방검사적PICC술후출현상지증상적71례환자자료，진행총결분석。결과71례류치PICC환자중，45례도관위우우상지，26례위우좌상지。16례발생상지정맥혈전，11례위우우상지，5례위우좌상지。위장도악성종류8례，폐부악성종류3례，유선악성종류3례，균위녀성환자，악성혈액병2례。15례환자상지정맥혈전경용전치료균소실，1례환자출현쌍상지정맥엄범전새，림상상부의합병폐혈전전새,후경수술여약물결합치료혈전，득이치유。결론채색다보륵초성능단시간내준학、경제적판단상지정맥혈전형성，관찰혈전대소、형태급범위적변화，청초적현시도관적위치이급상태，흔대정도방조림상판정PICC술후상지정맥혈전적형성급지도치료。
Objective To evaluate the color Doppler ultrasound in postoperative fel ow-up examination after peripheral y inserted central venous catheter intravenous. Methods: Col ect the date of 71 patients with upper extremity symptoms after PICC from August 2011 to March 2013, and al the patients underwent fol ow-up examination of color Doppler ultrasound. Result: In al of the 71 cases of patients with PICC indwel ing, 45 cases of catheter located in the right upper extremity, 26 cases in the left upper extremity. 16 cases of upper extremity venous thrombosis occurred in 11 patients in the right upper extremity, 5 cases in the left upper extremity. 8 cases of Gastrointestinal cancer, 3 cases of lung cancer, 3 cases of Breast cancer, 2 cases of Hematologic malignancies. Al the patients with Breast cancer were female. Al of the 15 patients with upper extremity venous thrombosis were cured after thrombolytic therapy. One patient developed extensive upper limbs venous thrombosis, clinical suspicion of pulmonary thromboembolism, were crued after the surgical treatment combinate with drug treatment. Conclusion: Color Doppler Ultrasound can determine economic upper extremity venous thrombosis accurately in a short time, and observe the size, shape, scope, changes of the thrombus. And also it can clearly show the position and the state of the catheter, help the clinicians diagnose the upper extremity venous thrombosis after PICC and guide treatment.
