床边超声在急诊科中心静脉导管放置中的应用  

Central venous catheter placement guided by bed-side ultrasound in emergency department

作　　者：赵勇[1] 张泓[1] 

机构地区：[1]安徽医科大学第一附属医院急诊医学科,合肥230022

出　　处：《安徽医科大学学报》2013年第8期967-969,共3页Acta Universitatis Medicinalis Anhui

摘　　要：分析315例患者分别在超声引导下和非超声引导下中心静脉穿刺的成功率、穿刺次数、穿刺时间,以及操作者不使用超声引导的原因。结果显示在第1次穿刺时,超声引导组虽不能增加穿刺成功率,但可以减少穿刺次数[(1.2±0.4)vs(1.7±0.2),P<0.05]且不延长穿刺时间;在第2次穿刺时,超声引导组增加穿刺成功率(90%vs 85%,P<0.05)并减少穿刺次数[(1.3±0.5)vs(1.7±0.5),P<0.05];在非超声引导组中40%的操作者认为超声引导影响穿刺时间,28%的操作者不了解超声影像。The successful placement rate,puncture number and puncture time were analyzed in ultrasound-guided group and non-ultrasound-guided group in total 315 patients. The reason of chosed non- ultrasound-guided was ana- lyzed at the same time. At the first attempt time, overall successful placement rate did not vary according to the use of ultrasound guidance. However, ultrasound was found to be significant for reducing punctures number [ （ 1.2 ±0. 4） vs （ 1.7 ± 0.2）, P 〈 0. 05 ] and not perlonged punctures time. At the second attempt time, the increasing of successful placement rate （90% vs 85% , P 〈 0. 05 ） and decreasing of punctures number[ （1.3 ± 0.5） vs （1.7 ± 0.5） , P 〈 0.05 ] was significanted in ultrasound-guided group. In non-ultrasound-guided group, 40% physician didn＇t chose ultrasound because of insufficient time,28% physician because of poor identify image.

关 键 词：超声 中心静脉置管 急诊 

分 类 号：R459.7[医药卫生—急诊医学]