动脉置管在血液灌流中的应用

Application of Arterial Intubation in Hemoperfusion

目的探讨动脉置管建立血管通路在血液灌流(HP)中的可行性和临床价值。方法将我院2005年3月～2008年3月经动脉置管行HP的急性有机磷中毒(AOPP)患者356例随机分为两组,其中动脉置管组180例,静脉置管组176例。两组患者治疗效果及HP术中、术后相关并发症进行对比分析。结果动脉置管组在治疗效果上优于静脉置管组,HP对术中、术后的并发症明显少于静脉置管组。结论采用动脉置管行HP安全可行,与静脉置管组比较效果更好,有更广阔的临床临用价值,值得推广。

Objective To investigate the feasibility and clinical value in the establishment of the arterial intubation in hemoperfusion （HP）.Methods We divided 365 cases of acute organophosphorus pesticide poisoning（AOPP）randomly into two groups：arterial intubation group（180 cases） and venous catheterization group（176 cases）.The arterial intubation group was treated by arterial intubation,and the venous catheterization group was treated by venous intubation.The comparative analysis was made in the treatment effect and the related complications in intrao-hemoperfusion and post-hemoperfusion between the two groups.Results The treatment efficacy of the arterial intubation group was superior to that of the venous catheterization group,while the complications in intrao-hemoperfusion and post-hemoperfusion were significantly fewer than those of the venous catheterization group.Conclusion Compare with the venous catheterization,the arterial intubation in HP is safe and feasible.with a broader use and value in clinical therapy,worth promoting.