经左锁骨下静脉X线下留置长期双腔透析导管的应用  

The application of perennial dual-lumencatheter indwelling by left subclavian vein guided by X-ray

作　　者：陈扬波[1] 吴武忠[2] 张翔[2] 

机构地区：[1]广东省揭阳市人民医院心内科,广东揭阳522000 [2]广东省揭阳市人民医院血透中心,广东揭阳522000

出　　处：《中国医药导报》2010年第8期145-145,147,共2页China Medical Herald

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。Objective： To evaluate the effects of 11 cases who received perennial dual-lumencatheter by left 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 eava. 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 of heart failure or poor vascular conditions.

关 键 词：血液透析 双腔导管 左锁骨下静脉 X-线 

分 类 号：R459.5[医药卫生—治疗学]