超声引导下中心静脉置管在老年复苏患者中的应用

发布时间：2018-05-02 22:10

本文选题：超声引导 + 中心静脉置管　；参考：《中国老年学杂志》2016年13期

【摘要】：目的探讨老年复苏患者超声引导下中心静脉置管的临床效果。方法选取急诊和重症医学科收治的70例老年心肺复苏患者,根据置管方式分为超声引导下中心静脉置管组(实验组)和改良Seldinger穿刺法置管组(对照组),比较两组的手术时间、术中出血量、穿刺探查时间、穿刺成功率和各类并发症的发生率。结果实验组的手术时间、术中出血量、穿刺探查时间均低于对照组;实验组的一次性穿刺成功率明显高于对照组(P0.05)。在各类并发症比较中,实验组误穿动脉的发生率和形成局部血肿的发生率明显低于对照组(P0.05)。结论超声引导下中心静脉置管比传统置管有更好的穿刺效果和更低的并发症发生率。
[Abstract]:Objective to investigate the clinical effect of central venous catheterization under ultrasound guidance in elderly patients with resuscitation. Methods 70 elderly patients with cardiopulmonary resuscitation (CPR) treated in emergency department and intensive medicine department were divided into two groups: ultrasound guided central venous catheterization group (experimental group) and modified Seldinger puncture catheterization group (control group). The operation time was compared between the two groups. Intraoperative bleeding, puncture exploration time, puncture success rate and incidence of various complications. Results the time of operation, the amount of blood loss and the time of puncture exploration in the experimental group were all lower than those in the control group, and the success rate of one-off puncture in the experimental group was significantly higher than that in the control group (P 0.05). In comparison of various complications, the incidence of mis-perforating artery and local hematoma in the experimental group was significantly lower than that in the control group (P 0.05). Conclusion Ultrasound-guided central venous catheterization has better puncture effect and lower incidence of complications than traditional catheterization.
【作者单位】：北京大学人民医院重症医学科;北京协和医院急诊科;
【分类号】：R459.7

【相似文献】