经左锁骨下静脉X线下留置长期双腔透析导管的应用
[摘要] 目的:总结11例经左锁骨下静脉在X线指引下留置长期双腔透析导管的经验。方法:按改良Seldinger 方法行左锁骨下静脉穿刺,在X 线透视条件下将导丝送达下腔静脉,再将导管顺导丝置入上腔静脉。结果:11例全获成功,其中导管留置使用10～36个月,无一例发生血胸、气胸、空气栓塞和静脉撕裂。结论:本法对于血管条件差或心功能不全无法建立内瘘的患者是一种安全、有效的选择。
[关键词] 血液透析;双腔导管;左锁骨下静脉;X-线
[中图分类号] R459.5[文献标识码] B[文章编号] 1673-7210(2010)03(b)-145-02
The application ofperennial dual-lumencatheter indwelling by left subclavian vein guided by X-ray
CHEN Yangbo1, WU Wuzhong2, ZHANG Xiang2
(Ardiology Department of the People's Hospital of Jieyang, Jieyang 522000, China; Hematology Department of the People's Hospital of Jieyang, Jieyang 522000, China)
[Abstract] Objective: To evaluate the effects of 11 cases who received perennial dual-lumencatheterbyleft subclavian vein guided by X-ray. Methods: Puncture the subclavian vein with modified Seldinger method and send the wire into the inferior vena cava guided by X-ray, then set the catheter into the superior vena cava. Results: All patients were successfully indwelled, and the catheters were kept for 10-36 months. No hemothorax, pneumothorax, air embolism or vein rupture happened. Conclusion: It's a safe and effective method for the patients who can not use the traditional method to set up vascular access because ofheart failure or poor vascular conditions. ......
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[关键词] 血液透析;双腔导管;左锁骨下静脉;X-线
[中图分类号] R459.5[文献标识码] B[文章编号] 1673-7210(2010)03(b)-145-02
The application ofperennial dual-lumencatheter indwelling by left subclavian vein guided by X-ray
CHEN Yangbo1, WU Wuzhong2, ZHANG Xiang2
(Ardiology Department of the People's Hospital of Jieyang, Jieyang 522000, China; Hematology Department of the People's Hospital of Jieyang, Jieyang 522000, China)
[Abstract] Objective: To evaluate the effects of 11 cases who received perennial dual-lumencatheterbyleft subclavian vein guided by X-ray. Methods: Puncture the subclavian vein with modified Seldinger method and send the wire into the inferior vena cava guided by X-ray, then set the catheter into the superior vena cava. Results: All patients were successfully indwelled, and the catheters were kept for 10-36 months. No hemothorax, pneumothorax, air embolism or vein rupture happened. Conclusion: It's a safe and effective method for the patients who can not use the traditional method to set up vascular access because ofheart failure or poor vascular conditions. ......
您现在查看是摘要页，全文长 6172 字符。