婴幼儿超声辅助下颈内静脉穿刺植入完全植入式静脉输液港评价

发布时间：2018-02-03 00:57

本文关键词： 完全植入式静脉输液港超声检查颈内静脉穿刺术并发症　出处：《介入放射学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨超声辅助下颈内静脉穿刺在婴幼儿完全植入式静脉输液港(TIVAP)植入术中的效果。方法回顾性分析2009年1月至2016年7月在上海交通大学医学院附属儿童医学中心(单中心)治疗的446例TIVAP植入术患儿临床资料,患儿平均年龄1.3岁(4个月~2.8岁)。比较传统颈内静脉盲穿刺和超声辅助下颈内静脉穿刺耗时、一次穿刺成功率、穿刺并发症发生率,并作统计学分析。结果446例患儿中颈内静脉盲穿刺265例,平均需时7.6 min,一次穿刺成功201例(75.85%),发生穿刺并发症15例(5.66%);超声辅助下颈内静脉穿刺181例,平均需时4.2 min,一次穿刺成功176例(97.24%),发生穿刺并发症3例(1.70%)。结论婴幼儿TIVAP植入术时采用超声辅助下颈内静脉穿刺,可缩短手术时间,提高一次穿刺成功率并减少穿刺并发症发生,是一种安全有效、简单可行的技术,值得临床推广。
[Abstract]:Objective to investigate the effect of ultrasound assisted internal jugular venipuncture (IVAP) on infantile infantile total implanted intravenous infusion (IVAP). Effect of implantation. Methods retrospective analysis was made at the Children's Medical Center affiliated to the School of Medicine of Shanghai Jiaotong University from January 2009 to July 2016 (single center). The clinical data of 446 children with TIVAP implantation were analyzed. The average age of the children was 1.3 years (4 months to 2.8 years old). Compared with the traditional internal jugular vein blind puncture and ultrasound assisted internal jugular vein puncture, the success rate of single puncture and the incidence of complications were compared. Results there were 265 cases of internal jugular vein blind puncture in 446 cases, the average time was 7.6 mins, 201 cases were successful in one puncture (75.85). Complications of puncture occurred in 15 cases. Ultrasound assisted internal jugular vein puncture was performed in 181 cases, with an average time of 4.2 minutes. 176 cases were successful in one puncture. Conclusion Ultrasound-assisted internal jugular vein puncture can shorten the operation time of TIVAP implantation in infants. It is a safe, effective, simple and feasible technique to improve the success rate of single puncture and reduce the complications of puncture, which is worth popularizing in clinic.
【作者单位】：上海交通大学医学院附属上海儿童医学中心小儿外科;
【分类号】：R473.72
【正文快照】： (1)超声探头探查确定颈内静脉位置,穿刺点位于超声探头中点,呈45°角进针穿刺;(2)超声示颈内静脉与颈总动脉毗邻关系图1超声辅助下穿刺完全植入式静脉输液港(TIVAP)是一种成熟有效、简单可靠的外科技术,已在临床广泛应用。对于需长期化疗的儿童肿瘤患者,越来越多肿瘤科医师推

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