B超引导下的PICC置管体会  

作　　者：马华[1] 徐继红[1] 

机构地区：[1]江苏省常州市第一人民医院供应室,213003

出　　处：《当代医学》2012年第1期22-23,共2页Contemporary Medicine

摘　　要：目的探讨B超引导下结合改良Seldinger技术PICC置管的优越性。方法 53例需要行PICC置管患者,男性31例,女性22例,年龄46～78岁,均为浅静脉直视不明显或触摸不到、不适合盲穿患者。所有患者采用超声引导下肘上贵要静脉穿刺和改良Seldinger技术,经贵要静脉置管至上腔静脉。结果 53例患者穿刺一次成功,40例导丝直接进入贵要静脉,13例调节穿刺针角度后导丝进入静脉;2例在第一次置管时导管头进入颈内静脉,再次偏头法加指压法后进入上腔静脉。结论 B超下定位结合改良Seldinger技术穿刺贵要静脉其准确率较高,B超实时观察导管位置能提高插管成功率。Objective To study the superiority of using ultrasound to guide PICC insertion with modified Seldinger technique. Methods 53 patients with PICC implantation （31 males and 22 females, age range from 46-78 years）, whose superfical vein could not be touched, were included in this study. All patients were underwent ultrasound guided implantation of PICC via basilic vein to superior vena. Results Success rate of puncture the basilic vein in one time was 100%. Guide wire fit-into basilie vein directly in 44 patients. Through adjustment the angle of puncture needle, the guide wire fit-into basilic vein in 13 patients. The tip of catheter enter the internal jugular vein at first time in 2 patients. By leaning head and fingerprssure Methods, the catheter enter superior vena. Conclusion Using ultrasound to guide PICC insertion with modified Seldinger technique is safe and effective. Ultrasound guidance can elevate the success rate of PICC implantation.

关 键 词：PICC B超引导 SELDINGER技术 贵要静脉 

分 类 号：R472[医药卫生—护理学]