深静脉双腔导管在血液透析患者中的应用  

Clinical analysis of central venous catheterization with double-lumen in hemodialysis

作　　者：温向琼[1] 余兆兰[1] 孙雪红[1] 欧三桃[1] 

机构地区：[1]四川省泸州医学院附属医院血液净化中心,646000

出　　处：《重庆医学》2009年第22期2849-2850,共2页Chongqing medicine

摘　　要：目的探讨血液透析患者临时深静脉留置导管在血液透析治疗中的应用。方法2001年1月至2008年12月,行单针双腔导管留置血液透析464例,其中颈内静脉置管332例,锁骨下静脉置管82例,股静脉置管50例。分析不同置管方法并发症的发生率及处理方法。结果置管术中发生并发症有:血肿10例,局部渗血15例,误穿动脉8例;发生远期并发症有:导管相关感染36例,导管栓塞6例,导管血流量不足(血流小于180mL/min)8例,导管意外脱落5例。带管时间1d至15个月。结论临时深静脉置管对紧急血液透析患者,因操作简便,并发症低,并能提供稳定血流量,为临床造瘘提供了时间,是理想的临时血管通路。Objective To study the clinical applications of temporary central venous catheterization（CVC） in hemodialysis. Methods A retrospective study was performed in 464 cases undergoing hemodialysis with central venous catheters during January 2001 to December 2008, which included 332 internal jugular venous catheterizations, 82 subclavian venous catheterizations and 50 femoral venous catheterizations. The complications and their management were analyzed. Results The common acute complications of catheterizations included local hematoma in 10 cases,local bleeding in 15 cases and inadvertent arterial puncture in 8 cases. The common long term complications of catheterizations included infection in 36 cases, catheter obstruction in 6 cases, catheter with- drawal in 5 cases and catheter inadequate blood flow（〈180mL/min）in 8 cases. The catheter was kept for ld to 15 months. Conclu- sion Centrel venous catheterization is a convenient and easy way to set up a vascular access for hemodialysis and it has a low rate of complications which can be controlled easilly and safely.

关 键 词：血液透析 深静脉双腔导管 并发症 

分 类 号：R459.5[医药卫生—治疗学]