以升主动脉为声窗的超声切面对上腔静脉置管术后评估的应用价值

发布时间：2018-06-29 22:35

本文选题：上腔静脉置管 + 升主动脉　；参考：《安徽医科大学学报》2017年08期

【摘要】：探讨以升主动脉为声窗的超声切面对上腔静脉置管术后评估的应用优势。选取119例上腔静脉置管术后患者,通过以升主动脉为声窗切面、心尖五腔观及剑下双房切面观察上腔静脉入右房口段及该段内置管情况,比较三个切面上腔静脉的显示长度,并比较各切面联合经右侧锁骨上凹切面对上腔静脉置管并发症的检出情况。以升主动脉为声窗切面上腔静脉显示长度大于心尖五腔观及剑下双房观,差异有统计学意义(P0.05)。以升主动脉为声窗切面联合经右侧锁骨上凹切面对上腔静脉置管并发症检出例数多于心尖五腔观及剑下双房观联合经右侧锁骨上凹切面。以升主动脉为声窗的超声切面对上腔静脉置管术后评估提供新的途径和方法。
[Abstract]:Objective: to explore the advantages of ultrasound section with ascending aorta as acoustic window in the evaluation of superior vena cava catheterization. 119 patients after superior vena cava catheterization were selected to compare the display length of superior vena cava into the right atrium orifice and this segment by using ascending aorta as acoustic window, apical five-chamber view and subscleral double atrium section. The complications of superior vena cava indwelling via right superior clavicular fossa were compared. The length of superior vena cava on ascending aorta was larger than that of apical five chamber view and double chamber view (P0.05). Using ascending aorta as sonic window plane combined with right supraclavicular approach, the incidence of complications of superior vena cava was more than that of apical five chamber view and subsclavian double chamber view combined with right supraclavicular fossa. The acoustic window of ascending aorta provides a new approach and method for the evaluation of superior vena cava catheterization.
【作者单位】：安徽医科大学第二附属医院超声诊断科;安徽医科大学第二附属医院心胸外科;
【基金】：安徽省科技攻关计划项目(编号:1501041148)
【分类号】：R654.3

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