建立暂时性血管通道进行紧急血透的探讨  

To Explore the Application of Transient Vascular Access in the Emergency Hemodialysis

作　　者：肖青[1] 郭民[1] 孙桂玲[1] 李春英[1] 

机构地区：[1]潍坊医学院附属医院肾内科,山东潍坊261031

出　　处：《潍坊医学院学报》2003年第4期277-278,共2页Acta Academiae Medicinae Weifang

摘　　要：目的探讨暂时性血管通道在紧急血透中的应用。方法分别选择桡动脉、足背动脉、肱动脉、股动脉、股静脉穿刺或股静脉、颈内静脉、锁骨下静脉插管对340例患者进行紧急血透。结果 穿刺一次成功率桡动脉为89.2％,足背动脉80.4％,肱动脉40.9％,股动脉为100％,股静脉100％;股静脉插管一次性成功率为100％,颈内静脉93.3％,锁骨下静脉80％。结论 建立暂时性血管通路进行紧血透时宜首选桡动脉、足背动脉穿刺或股静脉、颈内静脉插管。Objective To investigate the application of transient vascular access in the acute process of hemodial-ysis. Methods The radial artery, dorsal artery of foot, brochial artery, femoral artery, femoral vein were selected amd punctured directly and femoral vein, jugular vein, subclavian vein inserted cannula for 340 patients who received acute process of hemodi-alysis. Results The success rate of first puncture were respectively 89. 3% ,81% ,41.7% , 100% , 100% and 100% ,91. 6% ,80% of insert cannula. Conclusion In the emergency hemo-dialysis with transient vascular access, the radial artery or dorsal artery of foot were punctured first, while femoral vien or jugular vein were inserted cannula first.

关 键 词：血液透析 肾衰竭 治疗 动脉穿刺 静脉插管 

分 类 号：R459.5[医药卫生—治疗学]