应用动脉导管鞘代替深静脉导管治疗失血性休克的临床研究  

Application of arterial sheath instead of deep venous catheter clinical study of hemorrhagic shock

作　　者：李玉明[1] 邝银英[1] 黄金平[1] 

机构地区：[1]广东省佛山市南海区里水医院,广东佛山528244

出　　处：《中国当代医药》2010年第22期64-65,共2页China Modern Medicine

摘　　要：目的:探讨动脉导管鞘外周静脉直接穿刺置管技术治疗出血性休克患者的临床应用价值。方法:回顾性分析26例动脉导管鞘外周静脉直接穿刺置管与20例中心静脉导管深静脉穿刺置管的出血性休克患者的临床资料,对比操作时间、补液速度、抢救成功率及其近期并发症的差异。结果:动脉导管鞘组耗时为(3.57±0.63)min,中心静脉导管组耗时为(9.74±1.36)min。补液速度动脉导管鞘组较深静脉导管组快(P<0.01)。结论:动脉导管鞘外周静脉直接穿刺置管治疗出血性休克患者,可快速建立静脉通道,操作有效、便捷。Objective： To evaluate the arterial catheter directly peripheral vein puncture technique in patients with hemorrhagic shock and clinical value.Methods： A retrospective analysis of 26 cases of peripheral arterial catheter directly vein puncture and central venous catheter in 20 cases of deep puncture static environment,and hemorrhagic shock clinical data,compared operating time,fluid speed,success rate and the recent differences in complications.Results： The arterial catheter sheath group time-consuming was（3.57±0.63） min,time-consuming central venous catheter group was（9.74±1.36） min.Arterial infusion rate of deep venous catheter sheath group were faster（P〈0.01）.Conclusion： The arterial catheter directly peripheral vein catheterization in patients with hemorrhagic shock,rapid establishment of intravenous access effective and convenient.

关 键 词：动脉导管鞘 外周静脉 置管 补液速度 

分 类 号：R605.971[医药卫生—急诊医学]