颈内静脉与股静脉留置双腔导管在血液透析应用中的比较  

Comparison of internal jugular vein and femoral vein detention double-lumen catheter in hemodialysis

作　　者：陈灵芝[1] 

机构地区：[1]六安市人民医院,安徽237005

出　　处：《安徽卫生职业技术学院学报》2008年第3期68-69,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:比较颈内静脉与股静脉留置双腔导管建立临时性血液透析血管通路的优缺点。方法:采用随机对照原则对68例尿毒症患者共留置颈内静脉双腔导管36根,股静脉双腔导管32根。观察两种中心静脉双腔导管留置时间、导管相关并发症、血流量及KT/V值等。结果:颈内静脉插管的导管留置时间为32±16天,明显长于股静脉插管19±13天(P<0.01);血流量分别为250±30ml/分,210±40m1/分(P<0.05),颈内静脉插管的导管堵塞发生率、感染及血流量不足发生率低于股静脉插管;两者透析效果无明显差异。结论:相比较而言,颈内静脉置管是一种更理想的临时性通道。Objective To compare the advantages and disadvantages of internal jugular vein and the femoral vein double-lumen catheter to establish temporary access for hemodialysis.Methods 68 cases of uremic patients were randomly divided into two group： 36 with internal jugular vein double-lumen catheter,and 32 with femoral vein double-lumen catheter.The two central venous catheter retention time,the complications,blood flow and KT/V values were observed.Results The internal jugular vein catheter retention time was the 32±16 days,significantly longer than the femoral vein catheterization＇s 19±30days（P〈0.01）.Bloodflow：250±30ml/min,210±40ml/min（P〈0.05） respectively.The rates of plug,infection and lack of blood flow among internal jugular vein catheter are lower than those in femoral vein catheterization.There was no significant difference in effects of the two hemodialysis.Conclusion The internal jugular vein catheter is comparatively a better way for temporary access.

关 键 词：股静脉 颈内静脉 双腔导管 

分 类 号：R459.5[医药卫生—治疗学]