床边CR胸片对ICU患者监护治疗设备位置的评价  

The Evaluation of Monitoring Devices in the Intensive Care Unit with Bedside Chest Computed Radiography

作　　者：高鹏[1] 周全[1] 刘晖[2] 刘斯润[1] 陈金城[1] 

机构地区：[1]暨南大学附属第一医院医学影像中心,广东广州510632 [2]暨南大学附属第一医院ICU,广东广州510632

出　　处：《实用放射学杂志》2008年第10期1354-1356,共3页Journal of Practical Radiology

基　　金：广东省自然科学基金项目(编号:06025211)

摘　　要：目的评价床边CR胸片对ICU患者监护、治疗设备的导管、导线位置的作用。方法对162例ICU患者的387份床边胸片并结合其临床资料进行回顾性分析,观察监护治疗仪器导管的位置以及有无并发症。结果导管的位置异常47例,约为16.9%,主要为气管插管过深、中央静脉置管进入颈静脉及胸腔引流管插入太浅致引流无效。有创操作后并发症较少:机械通气后的气胸及气管插入过深所致的肺不张及吸入性肺炎11例。在进行监护设备及有创操作后评估管线情况同时发现临床未注意到的心肺疾病10例(占6.2%)。结论床边CR胸片可观察各种监护仪器、导线和导管位置以及有无并发症等,同时还可发现临床未注意到的心肺疾病。Objective To assess the contribution of the portable chest computed radiography （CR） in evaluation of monitoring devices of the patients in the intensive care unit （ICU）. Methods One hundred and sixty-two cases with 387 chest radiographs in the ICU were analysed retrospectively. The location of the catheters of monitoring devices and complications were observed.Results The malposition of the catheters was detected in 47 cases（16.9%）,including the endotracheal （ET） tubes too deep at the position, the central venous catheters placed into the internal jugular veins,and the position of the thoracic drain tubes to be deep not enough causing the drain to fall.The complications after operation of monitoring devices were not common,including pneumothorax caused by ventilatory assistance,atelectasis and pneumonia caused by malposition of the ET tubes,totally in 11 cases.10 cases with cardiopulmonary abnormalities were discovered accidentally in all 162 cases（6.2%） when evaluation of monitoring devices.Conclusion Bedside chest CR not only can show the catheter position and the complications of the monitoring devices ,but also the cardiopulmonary abnormalities of patients in the ICU.

关 键 词：床边X线摄影 胸部 ICU 并发症 

分 类 号：R323.2[医药卫生—人体解剖和组织胚胎学] R814.41[医药卫生—基础医学]