摘要
[目的]评价长期深静脉留置导管作为血液透析通路的效果。[方法]采用Seldinger技术穿刺深静脉,留置导管通过撕脱型外套送入血管。[结果]共计26例患者,其中颈内静脉24例,股静脉2例。留置最长时间达36.5个月,平均导管留置时间为8.6个月。1例患者因死亡拔管,1例因患者烦躁而自行拔出,2例患者因感染无法控制拔管,其余22例患者仍然继续应用该导管透析。[结论]长期深静脉留置导管使用时间长,栓塞率、感染率低,可满足血液透析要求,值得推广应用。
[Objective] To evaluate the effects of long-term deep vein catheterization as permanent hemodialysis access. [Methods] Catheterization was performed in patients by the standard seldinger technique, that a guidewire was inserted into a deep central vein, following by the insertion of the cuffed catheter through a peel-away sheath. The duration and various out- comes of catheterization were evaluated. [ Results]Among the 26 patients with long-term deep vein catheterization, catheters in 24 patients were inserted through internal jugular veins and 2 patients through femoral veins. The average duration of catheterization was 8.6 months, the longest duration in a patient was 36.5 months. Catheterization was terminated in 4 patients, within who two due to uncontrollable infections, one due to death from complications of uremia and another patient pulled out the catheter by himself due to emotional restlessness. The remaining 22 patients were still under catheterization by the end of the study. [Conclusion] Long-term deep vein catheterization has long effective duration and low rate of embolism and infection, It can meet the relative needs for hemodialysis, therefore it should be extensively applied as a hemodialysis access.
出处
《现代预防医学》
CAS
北大核心
2008年第9期1756-1757,共2页
Modern Preventive Medicine
关键词
长期深静脉置管
血液透析
透析通路
Long-term deep vein cathetedzation
Hemodialysis
Hemodialysis access
