体表定位法留置右颈内静脉带涤纶套血液透析导管的可行性

［摘要］目的　研究体表定位留置右颈内静脉血液透析带涤纶套导管是否可行．方法　选择2012年2月至2014年3月在昆明市延安医院血液净化中心接受带涤纶套右颈内静脉置管术患者，随机分为体表定位下置管组和数字减影下置管组，比较2组患者置管后即刻血流量、术中导管调整率、术后导管调整率，术后胸片导管有无打折及导管尖端位置情况． 结果　共置管50例，体表定位置管25例，即刻血流量不畅发生率及导管调整率为12%，管尖到位率为92%；数字减影下置管25例，即刻血流量不畅发生率及导管调整率为16%，管尖到位率为100%，２组术后导管均无打折情况，差异无统计学意义（P＞0.05）．结论 体表定位法置入右颈内静脉带涤纶套血液透析导管安全可行．

The Feasibility of Body Surface Positioned Approach of the Right Internal Jugular Vein Indwelling Caffed Catheter in Hemodialysis

［Abstract］Objective　To explore the feasibility of the body surfaces positioned approach （BSPA）of the right internal jugular vein indwelling caffed catheter（RIVICC）in hemodialysis. Methods The patients treated with the RIVICC in the Blood Purification Center of Yanan Hospital affiliated to Kunming Medical University，from February，2013 to March 2014 were selected. The measurement indexes of vascular access included: instant vascular access after the catheter setup，catheter adjustment during or after the operation，blood flow after adjustment，and Catheter tip in the place in X-ray picture. Results There were a total of 50 patients were received the RIVICDC， 25 using BSPA and 25 using DSA. Of the 25 with BSPA，12% patients experienced an instant vascular access problem after the catheter setup and a Catheter adjustment，92% ones experienced the Catheter tip in the right place in X-ray picture. Of the 25 with DSA，16% patients experienced an instant vascular access problem after the catheter setup and a Catheter adjustment，100% ones experienced the Catheter tip in the right place in X-ray picture. There was no statistical significant differences for all statistics of vascular access between the 2 groups（P＞0.05）．Conclusion　BSPA of the RIVICC is safe and feasible.