| 超声引导行右颈内静脉穿刺置管术的应用 |
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| 引用本文： | 屈德丽,;邓雪颖,;薛蔚佳,;赖桂兰,;郭宗琳.超声引导行右颈内静脉穿刺置管术的应用[J].中国医药指南,2014(25):32-32. |
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| 作者姓名： | 屈德丽 ;邓雪颖 ;薛蔚佳 ;赖桂兰 ;郭宗琳 |
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| 作者单位： | [1]成都铁路分局医院超声科,四川成都610081; [2]成都铁路分局医院肾病科,四川成都610081 |
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| 摘 要： | 目的探讨超声引导下行右颈内静脉穿刺置管术的应用价值。方法回顾分析成都铁路分局医院肾内科2010年1月至2013年6月共165例尿毒症患者,超声引导下经皮右颈内静脉穿刺置管术建立临时血管通路的成功率及并发症的预防。结果 1第一针穿刺成功率89.70%,第二针穿刺成功率5.45%,未穿刺患者占4.85%。2渗血发生率7.88%,均压迫后止血。结论超声引导下行右颈内静脉穿刺置管术,极大提高置管的成功率,有效降低并发症的发生。
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| 关 键 词： | 超声 颈内静脉 置管 |
Clinical Application of Ultrasound Guided Percutaneous Right Internal Jugular Vein Catheterization in Hemodialysis |
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| Institution: | QU De-li, DENG Xue-ying, XUE Wei-jia, LAI Gui-lan, GUO Zeng-lin (1 Department of Ultrasound, Chengdu Railway Bureau Hospital, Chengdu 610081, China; 2 Department of Nephrology, Chengdu Railway Bureau Hospital, Chengdu 610081, China) |
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| Abstract: | Objective To explore the clinical application of ultrasound guided percutaneous right internal jugular vein catheterization in hemodialysis,and to analyze the methods,precautions and prevention of complications of puncture. Methods Totally 165 patients of chronic renal insufficiency with uremia underwent ultrasound guided percutaneous right internal jugular vein catheterization according to technical points of increasing the success rate of puncture. Results The total successful rate of puncture was 100%.The first puncture succeeded in 148 patients（148/165,89.70%）,the second in 9 patients（9/165,5.45%）and 8 patients（8/165,4.85%）.The complication rate was 7.88%（13/165）. Compression hemostasis was effective method. Conclusion Ultrasound guidance can greatly improve the success rate of puncture in percutaneous right internal jugular vein catheterization, while reduce the incidence of complications. |
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| Keywords: | Ultrasound Jugular vein Catheterization |
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