彩色多普勒超声评价PICC上肢静脉血栓

Color Doppler ultrasound for diagnosis of peripherally inserted central catheter(PICC)-related upper extremity venous thrombosis

目的:探讨彩色多普勒超声检查在评价经外周置入中心静脉导管(PICC)患者发生上肢静脉血栓中的应用价值。方法:对2010年2月—2012年1月期间留置PICC并出现上肢症状的89例患者进行上肢静脉彩色多普勒超声检查,分析声像图特点。结果:89例留置PICC患者中56例(62.9%)的导管位于右上肢,33例(37.1%)位于左上肢。10例(11.2%)患者发生导管相关性上肢静脉血栓,6例位于右侧,4例位于左侧。其中男性7例,恶性血液病3例,肺部恶性肿瘤2例,腹部恶性肿瘤1例,重症肺炎1例;女性3例,均为乳腺肿瘤患者。结论:彩色多普勒超声能方便、快捷、无创地评价留置PICC患者上肢静脉血栓的发生,值得推广。

Objective： To assess the application value of color Doppler ultrasound in patients at risk for peripherally inserted central catheter （PICC）-related upper extremity venous thrombosis. Methods： From February 2010 to January 2012, 89 patients receiving PICC placement who presented with upper extremity symptoms underwent upper extremity venous color Doppler ultrasound scanning, and their sonographic features were analysed. Results： Of the 89 patients with PICC placement, 56 （62.9%） cases had the catheters placed in the right arm and 33 （37.1%） cases in the le（t arm. Ten （11.2%） patients developed PICC-related upper extremity thrombosis, of whom, 6 cases in the right arm and 4 cases in the left arm. Of the 10 patients, 7 were male, of whom, there were 3 cases of hematological malignancies, 2 cases of pulmonary malignant tumors, and one case each of malignant abdominal tumor and severe pneumonia; all of the 3 female cases were of breast cancer. Conclusion： Color Doppler ultrasound scanning is convenient, fast and non-invasive for diagnosis of upperextremity venous thrombosis in patients with PICC placement, Thus, it is recommended to be widely used.