高龄危重患者两种中心静脉导管尖端位置与导管相关事件比较  

Central venous catheter tip location and catheter-related complications in advance-aged critical patients

作　　者：鲁晓春[1] 朱平[1] 史扬[1] 刘宏伟[1] 李健[1] 樊瑾[1] 

机构地区：[1]解放军总医院南楼心血管内一科,北京100853

出　　处：《解放军医学院学报》2013年第3期217-219,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目标分析高龄危重患者两种中心静脉导管尖端位置与导管相关事件的关系。方法观察本院南楼2007年9月-2012年3月间311例行中心静脉导管置入的高龄重症患者,根据导管尖端位置分为两组,上腔静脉组和右房水平组,观察两组导管主要事件、预后及导管应用时间等指标。结果除置入较浅导管的脱出比例(4.7%)高于更深组(0.5%,P=0.019)外,两组在其他导管相关事件、临床预后等方面差异均无统计学意义。结论在当今中心静脉导管技术成熟的时代,导管尖端位置深浅对于导管相关并发症和患者预后没有明显影响。Objective To analyze the relation between 2 locations of central venous catheter （CVC） tip and catheter-related complications in advance-aged critical patients. Methods Three hundred and eleven advance-aged critical patients who underwent central venous catheterization in our hospital from September 2007 to March 2012 were divided into superior vena eava （SVC） group and right atrium （RA） level group according to the position of CVC tip. Catheter-related complications, catheter-used time and prognosis of the patients were observed. Results No significant difference was found in catheter-related complications and clinical prognosis between the two groups except that the proportion of relapsed shallow catheters than that of relapsed deep catheters （4.7% vs 0.5%, P=0.019）. Conclusion The CVC tip does not significantly affect the catheter-related complications and the prognosis of patients no matter its position is shallow or deep.

关 键 词：中心静脉导管 并发症 导管尖端位置 

分 类 号：R45[医药卫生—治疗学]