彩超引导下PICC置管术的临床价值  

Clinical value of peripherally inserted central catheter guided with the color Doppler ultrasound

作　　者：周跃[1] 郭曲[2] 孙卫健[1] 范晓芳[1] 顾晓薇[1] 

机构地区：[1]无锡市第四人民医院超声科,江苏无锡214062 [2]无锡市第四人民医院妇产科,江苏无锡214062

出　　处：《海南医学》2011年第9期97-98,共2页Hainan Medical Journal

摘　　要：目的为提高PICC置管术的成功率,在彩超引导下行PICC穿刺置管,探讨彩超引导下PICC置管术的临床价值。方法对50例患者采用在彩超引导下经上肢深静脉或浅静脉穿刺,另外50例患者采用传统盲穿法经上肢浅静脉穿刺。结果彩超引导下一次性置管成功率为88%,二次性置管成功率100%,平均置管完成时间(22.5±3.4)min;盲穿法一次性置管成功率60%,二次性置管成功率80%,平均置管完成时间(37.2±4.6)min。结论彩超引导下PICC置管术成功率高,置管完成时间短,为需要长期输液患者提供了可靠的置管途径。Objective To explore the clinical value of peripherally inserted central catheter guided with the color Doppler ultrasound.Methods With the color Doppler ultrasound-guided technique,we conduct PICC through the upper limb deep vein or superficial vein in 50 patients,in another 50 patients we conduct PICC with traditional blind puncture through the upper limb superficial vein.Results The one-time and two-time successful rate of PICC with the color Doppler ultrasound-guided technique is 88% and 100%,the mean puncture time is 22.5±3.4 min;the one-time and two-time successful rate of PICC with traditional blind puncture is 60% and 80%,the mean puncture time is 37.2±4.6min.Conclusion The success rate of PICC with the color Doppler ultrasound-guided technique is higher,and provide a reliable approach for the patients who are in need of long time infusion.

关 键 词：彩超引导 经外周静脉置入中心静脉导管 

分 类 号：R445.1[医药卫生—影像医学与核医学]