国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2013年
1期
37-39
,共3页
经颅多普勒超声%血液透析%颈内静脉%血管通路
經顱多普勒超聲%血液透析%頸內靜脈%血管通路
경로다보륵초성%혈액투석%경내정맥%혈관통로
Transcranial Doppler%Haemodialysis%Tibial vein%Vascular access
目的 观察在经颅多普勒超声引导下行颈内静脉导管置入术术中及术后并发症的发生率,探讨经颅多普勒超声的应用价值.方法 选取2010年9月至2011年9月于郑州市第七人民医院住院的慢性肾功能不全患者70例,其中男38例,女32例,平均年龄(46±8)岁.采用数字表法随机分为直接穿刺组和经颅多普勒超声组,每组各35例,分别实施临时性颈内静脉导管置入手术,观察不同手术方案下各组术中及术后并发症的发生率.采用分层资料卡方检验进行数据统计.结果 经颅多普勒超声组误穿动脉(2.9％ vs 0)、穿刺失败(8.6％ vs 0)的发生率显著低于直接穿刺组,两组术后渗血发生率(5.7％vs 2.9％)差异无统计学意义.结论 经颅多普勒超声引导下行颈内静脉导管置入术成功率明显提高,误穿动脉的发生率降低,有一定的应用前景.
目的 觀察在經顱多普勒超聲引導下行頸內靜脈導管置入術術中及術後併髮癥的髮生率,探討經顱多普勒超聲的應用價值.方法 選取2010年9月至2011年9月于鄭州市第七人民醫院住院的慢性腎功能不全患者70例,其中男38例,女32例,平均年齡(46±8)歲.採用數字錶法隨機分為直接穿刺組和經顱多普勒超聲組,每組各35例,分彆實施臨時性頸內靜脈導管置入手術,觀察不同手術方案下各組術中及術後併髮癥的髮生率.採用分層資料卡方檢驗進行數據統計.結果 經顱多普勒超聲組誤穿動脈(2.9％ vs 0)、穿刺失敗(8.6％ vs 0)的髮生率顯著低于直接穿刺組,兩組術後滲血髮生率(5.7％vs 2.9％)差異無統計學意義.結論 經顱多普勒超聲引導下行頸內靜脈導管置入術成功率明顯提高,誤穿動脈的髮生率降低,有一定的應用前景.
목적 관찰재경로다보륵초성인도하행경내정맥도관치입술술중급술후병발증적발생솔,탐토경로다보륵초성적응용개치.방법 선취2010년9월지2011년9월우정주시제칠인민의원주원적만성신공능불전환자70례,기중남38례,녀32례,평균년령(46±8)세.채용수자표법수궤분위직접천자조화경로다보륵초성조,매조각35례,분별실시림시성경내정맥도관치입수술,관찰불동수술방안하각조술중급술후병발증적발생솔.채용분층자료잡방검험진행수거통계.결과 경로다보륵초성조오천동맥(2.9％ vs 0)、천자실패(8.6％ vs 0)적발생솔현저저우직접천자조,량조술후삼혈발생솔(5.7％vs 2.9％)차이무통계학의의.결론 경로다보륵초성인도하행경내정맥도관치입술성공솔명현제고,오천동맥적발생솔강저,유일정적응용전경.
Objective To evaluate the role of transcranial doppler in the process of tibial vein catheterization.Methods Seventy patients with chronic kidney disease (CKD) stage 5 in need of tibial vein catheterization were enroilled in this investigation.The patients were assigned to group A (non-device) and group B (under transcranial doppler).The medical records of eligible patients were reviewed with regard to the complications including hematoma,oozing and etc during the operation.Results Group B showed lower misparacentesis incidence (0) and lower failure rate in comparision with group A (2.9％ and 8.6％,respectively).The placement of tibial vein catheters was performed without difficulty when the site of placement was chosen on the basis of transcranial doppler.Conclusions Transcranial doppler may be helpful in locating central venous during the placement of tibial vein catheters.
