感染性休克患者经超声引导右锁骨下静脉置管的临床研究  

Application of Real-time Ultrasound-guided Subclavian Vein Cannulation in Septic Shock Patients

作　　者：孟玉兰[1] 单新强[1] 

机构地区：[1]塔城地区人民医院重症医学科,新疆塔城834700

出　　处：《中国继续医学教育》2017年第11期104-106,共3页China Continuing Medical Education

基　　金：新疆维吾尔自治区塔城地区科学研究与技术开发(含攻关)计划;重要科研(技术推广示范)项目(2016465)

摘　　要：目的探讨超声引导下右锁骨下静脉穿刺置管术在感染性休克患者中的应用。方法感染性休克的患者随机分为超声引导组和解剖标志定位组,统计两组的一次置管成功率、穿刺时间、置管机械并发症、28 d内导管相关性感染及死亡例数。采用独立样本t检验及χ~2检验进行数据分析。结果两组患者一次置管成功率、穿刺时间、机械并发症比较,差异有统计学意义(P=0.021,P=0.000,P=0.035);28d内导管相关性感染及死亡例数比较,差异无统计学意义(P=0.920,P=0.602)。结论感染性休克患者经超声引导右锁骨下静脉置管安全、可靠,并发症少,可作为置管困难患者及初学者的首选。Objective To discuss the clinical application of real-time ultrasound-guided subclavian vein cannulation in septic shock patients. Methods Septic shock patients were randomly divided into two group：the landmark method group and the real-time ultrasound-guided group. The achievement ratio, cannulation time,the complication,catheter related infections and death cases in 28 days were observed, t test and Z2 test were used. Results Single factors analysis showed that the achievement ratio, cannulation time and the complication were statistically significant between two group （P=-0.021, P=-0.000, P=0.035）. The catheter related infections and death cases were not statistically significant between two groups in 28 days （P=0.920, P=0.602）. Conclusions Real-time ultrasound-guided subclavian vein cannulation in septic shock patients is safe and reliable. It is especially suitable to the patients with unfavorable condition, and also be performed by beginners with less experience.

关 键 词：感染性休克 右锁骨下静脉 超声检查 导管置入术 

分 类 号：R459.7[医药卫生—急诊医学]