CAJ | 학술논문

目的：探讨超声引导技术在桡动脉再次穿刺置管的应用。方法需再次桡动脉穿刺置管的患者22例，短轴平面外超声引导，观察桡动脉损伤状况，记录穿刺置管成功率。结果超声下桡动脉损伤的类型包括血管痉挛、管腔闭塞、血肿形成等；21例患者再次同侧穿刺成功，成功率95％；有一例需更换至对侧穿刺。全组患者未见其他并发症。结论超声引导用于桡动脉再次穿刺置管成功率高，并发症少，是必要的补救措施。
목적：탐토초성인도기술재뇨동맥재차천자치관적응용。방법수재차뇨동맥천자치관적환자22례，단축평면외초성인도，관찰뇨동맥손상상황，기록천자치관성공솔。결과초성하뇨동맥손상적류형포괄혈관경련、관강폐새、혈종형성등；21례환자재차동측천자성공，성공솔95％；유일례수경환지대측천자。전조환자미견기타병발증。결론초성인도용우뇨동맥재차천자치관성공솔고，병발증소，시필요적보구조시。
Objective To explore the application of ultrasound guided in radial artery re-cannu-late.Methods The ultrasound guided short axis,out-of-plane radial artery re-cannulate was per-formed on 22 patients.Observe the injury of vessle,record the success rate.Results The type of artery destruction includes vascular spasm,dissection,occlusion,as well as hematoma.Twenty-one cases succeeded;Only one needed puncture catheter in contralateral.Conclusion Guided Ultrasound can be employed in radial artery re-cannulate with higher success rate and less complications.