神经重症患者中心静脉置管选择及并发症比较分析  

Selection of central venous catheterization and comparison of complications in neurocritical patients

作　　者：孟学刚[1] 李江[1] 王明远[1] 地力木拉提[1] 李红燕[1] 

机构地区：[1]新疆维吾尔自治区人民医院神经内科监护室,乌鲁木齐830001

出　　处：《新疆医学》2017年第11期1309-1310,1317,共3页Xinjiang Medical Journal

摘　　要：目的探讨锁骨下静脉、颈内静脉、股静脉三种中心静脉置管在神经重症患者的使用价值及并发症情况。方法对三部位中心静脉置管的成功率、留置时间,以及感染率、血栓形成比例、气胸等并发症情况进行统计,比较三组之间的差异。结果三种置管部位成功率股静脉较高,差异无统计学意义。导管留置时间锁骨下静脉相对较长,感染风险低。深静脉血栓及导管相关感染发生率股静脉置管最高。结论应根据病人情况及操作者经验选择中心静脉置管部位。推荐锁骨下静脉是神经重症患者置管首先选择的部位,可相对较长时间留置且后期并发症较少。Objective To investigate the value and complication of three kinds of central venous catheter catheterization in the neurocritical patients. Methods The success rate in three kinds of central venous catheter, the time of detaining, the rate of infection,proportion of thrombosis, pneumothorax and other complications were statistically analyzed, and the differences among three groups were compared. Results There was no statistically significant difference in the success rate of three kinds of indwelling catheter method in central venous system. Catheter indwelling time at subclavian vein was relatively long, and the risk of infection was low. The incidence of deep venous thrombosis and catheter-associated infection was highest in femoral venous catheterization. Conclusion Three kinds of method about the central venous catheter should be selected according to the patient＇s condition and the operator＇s experience. It is recommended that subclavian vein is the first choice for the patients with neurological severe disease, which can be retained relatively for a long time and has fewer complications.

关 键 词：神经重症 中心静脉置管 并发症 

分 类 号：R5[医药卫生—内科学]