超声引导下与传统股静脉置管术在上腔静脉综合征患者中的置管效果对比

发布时间：2018-05-17 09:40

本文选题：超声引导 + 股静脉置管术　；参考：《川北医学院学报》2017年02期

【摘要】：目的:对比超声引导下与传统股静脉置管术在上腔静脉综合征患者中的置管效果。方法:100例上腔静脉综合征患者随机分为两组,超声组患者(50例)在超声下行股静脉穿刺,盲穿组(50例)行盲穿治疗。结果:超声组50例X线拍片有48例穿刺成功,1例误入动脉,1例未进入静脉,1例导管尖端反折经调整后到达下腔静脉,置管期间均未发生大血肿、静脉炎;盲穿组9例失败,其中误入动脉3例,未进入静脉2例,局部大血肿2例,2例因体位及时间过长确实不耐受而放弃继续置管。两组穿刺时间及穿刺成功率比较均有显著统计学差异(P0.05)。结论:与盲穿股静脉置管术比较,超声引导下股静脉置管能显著提高穿刺成功率及缩短穿刺时间,安全性更好。
[Abstract]:Objective: to compare the effect of ultrasound-guided catheterization with traditional femoral vein catheterization in patients with superior vena cava syndrome. Methods one hundred patients with superior vena cava syndrome were randomly divided into two groups. 50 patients in the ultrasound group underwent femoral vein puncture and 50 in the blind puncture group. Results: in the ultrasound group, 48 cases were successfully punctured into the artery in 48 cases. One case did not enter the vein and 1 case reached the inferior vena cava after adjustment. No large hematoma and phlebitis occurred during the catheterization, 9 cases in the blind puncture group failed. Among them, 3 cases were stumbled into the artery, 2 cases did not enter the vein, 2 cases had local hematoma and 2 cases gave up the catheterization because the posture and time were too long. There were significant differences in puncture time and success rate between the two groups (P 0.05). Conclusion: compared with blind femoral vein catheterization, ultrasound guided femoral vein catheterization can significantly improve the success rate of puncture and shorten the puncture time, and the safety is better.
【作者单位】：遂宁市中心医院静脉置管室;
【基金】：川北医学院科研发展计划项目(CBY13-FY03)
【分类号】：R472

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