CAJ | 학술논문

目标分析高龄危重患者两种中心静脉导管尖端位置与导管相关事件的关系.方法观察本院南楼2007年9月-2012年3月间311例行中心静脉导管置入的高龄重症患者,根据导管尖端位置分为两组,上腔静脉组和右房水平组,观察两组导管主要事件、预后及导管应用时间等指标.结果除置入较浅导管的脱出比例(4.7%)高于更深组(0.5%,P=0.019)外,两组在其他导管相关事件、临床预后等方面差异均无统计学意义.结论在当今中心静脉导管技术成熟的时代,导管尖端位置深浅对于导管相关并发症和患者预后没有明显影响.
목표분석고령위중환자량충중심정맥도관첨단위치여도관상관사건적관계.방법관찰본원남루2007년9월-2012년3월간311례행중심정맥도관치입적고령중증환자,근거도관첨단위치분위량조,상강정맥조화우방수평조,관찰량조도관주요사건、예후급도관응용시간등지표.결과제치입교천도관적탈출비례(4.7%)고우경심조(0.5%,P=0.019)외,량조재기타도관상관사건、림상예후등방면차이균무통계학의의.결론재당금중심정맥도관기술성숙적시대,도관첨단위치심천대우도관상관병발증화환자예후몰유명현영향.
Objective To analyze the relation between 2 locations of central venous catheter (CVC) tip and catheter-related complications in advance-aged critical patients. Methods Three hundred and eleven advance-aged critical patients who underwent central venous catheterization in our hospital from September 2007 to March 2012 were divided into superior vena cava (SVC) group and right atrium (RA) level group according to the position of CVC tip. Catheter-related complications, catheter-used time and prognosis of the patients were observed. Results No significant difference was found in catheter-related complications and clinical prognosis between the two groups except that the proportion of relapsed shallow catheters than that of relapsed deep catheters (4.7%vs 0.5%, P=0.019). Conclusion The CVC tip does not significantly affect the catheter-related complications and the prognosis of patients no matter its position is shallow or deep.