小儿有创测压动脉穿刺置管术100例分析

ANALYSIS OF 100 CASES OF PERCUTANEOUS ARTERY CATHETERIZATION FOR INVASIVE MANOMETRY ON CHILD

目的回顾分析100例小儿心血管手术患者动脉有创测压经皮动脉穿刺置管术的方法。方法在气管插管全麻或基础麻醉下行经皮动脉直接穿刺法或穿透法穿刺置管。结果72例小儿在左侧桡动脉经皮穿刺置管经1～3次穿刺后成功;16例经3次穿刺不成功后改右侧桡动脉经皮穿刺置管成功,4例在右侧桡动脉经皮穿刺3次不成功后改股动脉经皮穿刺置管;8例直接在右侧桡动脉经皮穿刺置管成功;无动脉切开测压病例;随访,穿刺部位无感染发生、无穿刺动脉栓塞。结论小儿经皮动脉穿刺置管有一定的难度,但掌握多部位经皮动脉穿刺置管术,避免同一部位多次反复穿刺,可以避免动脉切开置管,减少动脉直接测压的并发症。

Objective Retrospective analysis of 100 eases of pediatric cardiovascular surgery patients with invasive arterial pressure percutaneous artery catheterization. Methods Under tracheal intubation anesthesia or basic anesthesia direct pereutaneous puncture of artery or penetration catheterization, Results 72 eases of children in the left radial artery percutaneous catheter puncture by 1 -3 times until success; 16 eases after 3 unsuccessful puncture alter to right radial artery then percutaneous catheter success; four eases in the right radial artery after three unsuccessful percutaneous changed to percutaneous femoral artery catheter; eight eases success directly in the right radial artery percutaneous catheter; No cases of infection of arterial pressure incision; no puncture embolization. Conclusion Children percutaneous artery catheterization is of a certain degree difficulty, but acquiring the skill of multi parts percutaneeus catheterization instead of repeatedly puncture on the same location may prevent arterial catheter incision and reduce direct arterial pressure complications.