双腔中心静脉导管穿刺置管术治疗多发伤患者创伤后局限性积液

目的 探讨在多发伤患者中使用双腔中心静脉导管置管术治疗不同部位局限性积液的治疗结果.方法 19例多发伤患者创伤后形成局限性积液,其中胸部积液15例,腹部积液3例,背部皮下积液1例.所有患者在B超证实积液后,行中心静脉导管穿刺置管.结果 所有患者均一次穿刺置管成功.术后均未发生穿刺相关并发症,所有胸腔积液患者均治愈.腹腔积液患者2例积液消失,1例好转.1例背部皮下血肿完全治愈.结论 作为一种微创方式,中心静脉导管穿刺置管可以有效引流创伤后不同部位的局限性积液,为临床治疗各种局限性积液提供了另一种新的治疗性选择.

Double lumen central venous catheter for limited post-traumatic effusion in patients with multiple trauma

Objective To investigate the effect of double lumen central venous catheter insertion for different limited effusion in multiple trauma patients. Methods The clinical data of 19 multiple trauma patients with limited effusion were admitted in this study, including 15 cases of chest effusion, 3 cases of abdominal effusion and 1 case of back subcutaneous effusion. Results All patients were successfully cath- eterized. No post-operative complications related to puncture happened. All pleural effusion patients were cured. The abdominal effusion disappeared in 2 cases and improved in 1 case. The back subcutaneous he- matoma was completely cured. Conclusion As a minimally invasive method, central venous catheter was effective for the drainage of different limited effusion after trauma, which provides a new therapeutic choice for clinical treatment of various limited effusion.