肺动脉高压患者经左前臂行标准右心导管检查科学性的探讨  

Investigation of the scientificity of the right heart catheterization through left antebrachium veins

作　　者：张振宁[1] 王勇[1] 潘磊[1] 王亚梅[1] 石志华[1] 钱进[1] 郭蕊[1] 

机构地区：[1]北京世纪坛医院肺血管病组,北京100038

出　　处：《临床心血管病杂志》2011年第1期39-41,共3页Journal of Clinical Cardiology

摘　　要：目的:探讨经左前臂行右心导管检查的科学性。方法:本研究对所有在我科就诊的疑诊肺血管病患者行右心导管检查,首选经肘前静脉穿刺,穿刺失败改为颈内静脉。需要围手术期监测肺动脉压者直接行右侧颈内静脉穿刺。结果:110例患者经肘前静脉穿刺,穿刺置入鞘管成功者为106例(96.4%),置入鞘管成功后完成右心导管检查者为104例(94.5%);6例患者经颈内静脉穿刺,均成功置入鞘管,顺利完成右心导管检查。结论:右心导管检查操作简便,安全性高,尤其经左侧肘前静脉进行右心导管检查操作简便,并发症发生率低,术后患者痛苦小,可以作为右心导管的检查路径。Objective：To investigate the scientificity of the right heart catheterization through the left antebrachium veins.Method：In this study,right heart catheterization via the antebrachium veins was performed on all patients suspected with pulmonary vascular disease firstly.If the antebrachium veins puncture was unsuccessful,then the internal jugular veins puncture was performed.If pulmonary artery pressure were required to be monitored during preoperative period,right heart catheterization through the right internal jugular veins was performed.Result：110 patients were enrolled for antebrachium veins puncture,in which 106 cases were successfully placed with sheath into antebrachium veins（96.4%）,104 cases were performed right heart catheterization test after successful sheath placement（94.5%）.6 cases were placed the sheath by internal jugular veins,which were all successfully performed with sheath placement and right heart catheterization.Conclusion：These data suggests that right heart catheterization through the antebrachium veins is a convenient and safe methold.Right heart catheterization via the left antebrachium vein is easy to operate but with low complication rate and less postoperative discomfort.It could be performed as a operatve pathway for right heart catheterization.

关 键 词：肺动脉高压 右心导管 左前臂静脉 

分 类 号：R543.2[医药卫生—心血管疾病]