彩超引导下右颈内静脉穿刺置管术在尿毒症患者中的应用  

Color Doppler Ultrasound-guided Technique Used for Puncture of Right Internal Jugularvein in Uremic Patients

作　　者：黄华星[1] 沈良兰[1] 张芬[1] 王琛[1] 邱志亮[1] 

机构地区：[1]南通大学第二附属医院肾内科,226001

出　　处：《黑龙江医药》2011年第4期641-643,共3页Heilongjiang Medicine journal

摘　　要：目的:探讨彩色多普勒超声引导下对尿毒症患者行右颈内静脉穿刺置管的应用价值。方法:慢性肾功能不全(CKD5期)患者共90例,随机分为彩超定位组(A组)和体表标志定位组(B组),记录两组首次穿刺成功率,穿刺次数及操作时间,随访观察两组并发症的发生率及透析充分性。结果:彩超定位组首次穿刺的成功率,穿刺次数,操作时间均明显优于对照组(P<0.05),并发症的发生率明显下降,且不影响血透质量。结论:彩超引导下颈内静脉穿刺置管定位准确,操作简便安全,成功率高,并发症少。Objective：To improve the successful rates and security of the puncture of internal jugular vein in uremic patients,the color Doppler ultrasound-guided technique was applied and compared with traditional puncture method.Methods：ninety uremic patients were randomized into ultrasound group（A group） and the anatomical landmarks group（B group） ,forty-five patients in each group.The first attempt rate,number of attempts and cannulation time were recorded to compare between the two groups,and the complications of cannulation and adequacy of hemodialysis were monitored regularly.Results：Compared with group B,the first attempt success rate of venous eannulation was higher,the number of attempts was less,and the cannulation time was shorter in group A（P0.05） .The complications of cannulation were known less（P0.05） in group A,and also did not influence the quality of hemodialysis.Conclusion：Ultrasound localization of the right internal jugular vein could significantly increase cannulation success rate,shorten the number of attempts and cannulation time.The technique was helpful and convenient for clinic service.

关 键 词：彩色多普勒超声 慢性肾功能不全 右颈内静脉 置管 

分 类 号：R454.3[医药卫生—治疗学]