颈内静脉隧道式涤纶套导管原位置换临时导管术的回顾性分析  

A retrospective analysis of in situ conversion of temporary internal jugular vein catheter to tunneled caffed catheter

作　　者：刘柳[1] 何凡[1] 徐钢[1] 宁勇[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院肾内科,武汉430030

出　　处：《中国血液净化》2014年第7期537-539,共3页Chinese Journal of Blood Purification

基　　金：国家自然科学基金资助项目(No:81200521)

摘　　要：目的 探讨右侧颈内静脉隧道式涤纶套导管原位置换临时导管的效果和并发症。方法 选取2012．1～2012．12在武汉同济医院肾内科接受隧道式带涤纶套颈内静脉置管术的患者，对比行原位置换术和标准术式2组在手术并发症、血流量和透析充分性间的差别。结果 总手术62例次，原位置换术30例次，技术成功率100％，最大血流量366．9±37．2ml／min，尿素氮下降率67．2％±7．1％，Kt／V值1．45±0．12：标准术式32例次，技术成功率100％，最大血流量367．6±40．3ml／min，尿素氮下降率65．5％±8．5％，Kt／V值为1．46±0．13。2组并发症对比无统计学意义（χ^2=1.940，P=0．160）。结论 在严格把握手术适应证的基础上，隧道式带涤纶套导管原位置换临时导管的方法 是一种安全、简便、有效的方法 。Objective To explore the clinical outcomes and complications of in situ conversion of temporary catheters to tunneled caffed catheters. Method We collected the patients treated with tunneled caffed catheterization in internal jugular vein from 2012.1～2012.12 in our center. Complications, maximum blood flow and dialysis adequacy were compared between in situ conversion group and control group. Result There are totally 62 times operating. In in situ conversion group （n=30）, the technical success ratio was 100%, maximum blood flow was 366.9±37.2 ml/min, urea reduction ratio was 67.2%±7.1% and the Kt/V value was 1.45±0.12. In control group （n=32）, the technical success ratio was 100%, maximum blood flow was 367.6±40.3 ml/ min, urea reduction ratio was 65.5%±8.5% and the Kt/V value was 1.46±0.13. No statistical differences were observed between these two groups. Conclusion Based on strictly control of indications, in situ conversion of temporary catheter to tunneled caffed catheter is a safe, simple and effective method.

关 键 词：血管通路 隧道式涤纶套导管 血液透析 

分 类 号：R318.16[医药卫生—生物医学工程]