摘要
目的探讨临时中心静脉插管血液透析患者发生的导管相关并发症及其与插管时间、部位的关系。方法将本院收入的临时插管血液透析患者753例为研究对象,分析血液透析导管相关并发症的危险因素,观察各种并发症与插管时间、部位的关系。结果透析导管相关感染、导管功能不全、上腔静脉梗阻综合征与中心静脉插管部位、留置时间存在相关性。通过右颈内静脉置管可明显降低患者出现透析导管相关感染、上腔静脉梗阻综合征的机会,同时证明导管功能不全与置管位置无关而与置管时间有关。结论导管留置部位、留置时间、年龄是透析导管相关感染、导管功能不全、上腔静脉梗阻综合征发生的重要危险因素。
Aim To investigate temporary core venous cannula hemodialysis patient＇s pipe related complication and its relationship with time and position of pipe incubation. Methods Collect 753 patients with core venous cannula hemodialysis,analyze risk factors correlated with hemodialysis patient＇s pipe related complication,investigate incubation time and position＇s impact on pipe related complication. Results The locatong of deep venous intubation,resistant time are both relevant to catheter-related infection,cathter insufficiency,superior vena cava obstruction syndrome.Right venae jugularis interna intubation can evidently reduce the incidence of catheter-related infection,superior vena cava obstruction syndrome,and we also prove that catheter insufficiency has relevation to the location of the catheter,but not the time.Conclusion Location of catheter,resistant time of catheter and age are key risk factors of catheter-related infection,cathter insufficiency,superior vena cava obstruction syndrome.
出处
《中国动脉硬化杂志》
CAS
CSCD
北大核心
2011年第4期357-360,共4页
Chinese Journal of Arteriosclerosis
关键词
中心静脉插管
血液透析
并发症
上腔静脉梗阻综合征
Central Venous Catheter
Hemodialysis
Complications
Obstruction of Superior Vena Cava Syndrome
