彩超在急危重症患者中的应用

目的探讨彩超下深静脉穿刺置管救治急危重症患者的应用价值。方法选取2015年6月—2016年6月在本院收治的风险较大或预计穿刺较困难的86例急危重症患者,依据随机为超声引导组与对照组,各43例,超声组以超声引导下实施深静脉穿刺置管引导;对照组运用传统体表解剖实施穿刺置管,记录比较2组并发症、成功率及穿刺置管时间。结果采用彩色多普勒超声诊断仪定位实时引导穿刺置管时间颈内静脉(98.5±35.7)s、股静脉(436.6±158.7)s]较之对照组颈内静脉(105.5±46.7)s、股静脉(536.5±198.4)s],少于后者(P0.05);实时超声引导穿刺置管一次成功率(颈内静脉97.22%、股静脉100%)相比于对照组(颈内静脉48.72%、股静脉25.0%),高于后者且差异显著(P0.05),对照组(颈内静脉10.26%、股静脉25.0%),2组并发症发生率颈内静脉(0vs.10.26),股静脉(0vs.25.0)]差异显著(P0.05)。结论救治急危重患者中运用彩色多普勒超声下选择性深静脉穿刺置管,临床价值高,可提升穿刺置管成功率,降低并发症,增加安全性。

The application of color Doppler ultrasound in patientswith emergency and severe diseases

Objective To explore the applicative value of deep vein puncture catheter under the guidance of color Doppler ultrasound in the treatment of patients with emergency and severe diseases.Methods A total of 86 patients with emergency and severe diseases admitted during June 2015 and June 2016 were randomly divided into 2 groups,with 43 cases in either group.Patients in the ultrasound group received deep vein puncture under the guidance of color Doppler ultrasound,while patients in the control group received deep vein puncture with traditional surface anatomy.The complications,success rate,and cathetering time of the two groups were compared.Results In the ultrasonic and control group,the cathetering time for jugular vein and femoral vein was (98.5±35.7)vs.(436.6±158.7)s],(105.5±46.7)vs.(536.5±198.4)s],with significant differences(P<0.05);the success rate for jugular vein and femoral vein was 97.22％vs.48.72％,100％vs.25.0％,with significant differences(P<0.05);the complication rate for jugular vein and femoral vein was 0 vs 10.26,0 vs.25.0,with significant differences(P<0.05).Conclusion Color Doppler ultrasound is effective in the treatment of patients with emergency and critical diseases.It can improve the success rate of deep vein puncture and decrease incidence of complications.