CAJ | 학술논문

目的：：探讨B超引导下改良塞丁格技术经外周中心静脉置管（PICC置管）和传统PICC置管在急性白血病患者中的效果。方法将46例急性白血病患者随机分为两组，分别采用B超引导下PICC置管和传统PICC置管，观察两组的局部血肿、导管感染、穿刺时间、1次到位数的发生率和反复穿刺组、1次到位组的血肿、感染发生率。结果观察组的局部血肿、导管感染数、穿刺时间明显低于对照组，1次到位数明显高于对照组，1次到位组的血肿、感染数明显低于反复穿刺组。结论 B超引导下PICC置管，较传统PICC置管成功率高，并发症少，在急性白血病治疗中值得推广。
목적：：탐토B초인도하개량새정격기술경외주중심정맥치관（PICC치관）화전통PICC치관재급성백혈병환자중적효과。방법장46례급성백혈병환자수궤분위량조，분별채용B초인도하PICC치관화전통PICC치관，관찰량조적국부혈종、도관감염、천자시간、1차도위수적발생솔화반복천자조、1차도위조적혈종、감염발생솔。결과관찰조적국부혈종、도관감염수、천자시간명현저우대조조，1차도위수명현고우대조조，1차도위조적혈종、감염수명현저우반복천자조。결론 B초인도하PICC치관，교전통PICC치관성공솔고，병발증소，재급성백혈병치료중치득추엄。
Objective To research the effect of modified Seldinger technique under the guidance of ultrasound for peripherally inserted central venous catheter(PICC) catheterization compared with the traditional method of PICC catheterization in acute leukemia patients. Methods Forty six patients with acute leukemia were randomly divided into control group applied with traditional method of PICC catheterization and observation group applied with modified Seldinger technique for PICC catheterization under the guidance of ultrasound. The incidence rates of local hematoma,infection through vessel,puncture velocity,and successful rate of puncture were compared between these two groups. The incidence rates of hematoma and infection between group of repeated puncture and group of disposable puncture. Results The incidence rates of local hematoma,infection through vessel and,puncture velocity were significantly lower than those of control group. The successful rate in observation group was significantly higher than that of control group. Conclusion The PICC catheterization under the guidance of ultrasound, which was worthy to popularized in acute leukemia treatment,has higher successful rate with less complication than the traditional method of PICC catheterization.