摘要
目的:探讨超声引导改良婴幼儿颈内静脉穿刺置管术的临床应用价值。材料和方法:随机抽取行先天性心脏病手术的婴幼儿60例分为2组(n=30)。A组:对照组,首选右颈内静脉中路,用20GY形穿刺针穿刺,再经Y型穿刺针置入J形引导钢丝,然后置入中心静脉导管。B组:实验组,在超声引导下用18GBD静脉外套管穿刺,经静脉外套管置入J形引导钢丝,然后置入中心静脉导管。记录两组穿刺置管总成功率、一次穿刺成功率、失败率及并发症。结果:B组总穿刺成功率高于A组(P<0.05),B组一次穿刺成功率显著高于A组(P<0.01),B组的穿刺并发症明显低于A组。结论:超声引导下经18G静脉留置针穿刺置管,大大提高了婴幼儿中心静脉置管的成功率,并降低了并发症的发生率,有很高的临床应用价值。
Purpose To evaluate the clinical value of ultrasound-guided internal jugular vein （IJV）catheterization in infant patients. Materials and Methods Sixty infant patients aged between 30 days and 3 years with weight ranging from 3.70 to 15.0 kg who underwent surgery due to congenital heart diseases were recruited in this study. The patients were divided into two groups according to the catheterization approach： control group （catheterization by midway approach, n = 30）and experimental group （catheterization guided by ultrasonography, n=30）. The overall success rate of catheterization, the success rate of catheterization at first attempt, and the complications during catheterization in two groups were recorded and compared. Results The overall success rate of catheterization and the success rate of catheterization at first attempt in experimental group were significantly higher than those in the control group （100%vs. 80%, P〈0.05; 93.3%vs. 70%,P〈0.01）, respectively. In addition, the complication rate in experimental group was lower than that in the control group （0%vs. 26.7%）. Conclusions Internal jugular vein catheterization guided by ultrasound is a reliable and safe technique in infant patients.
出处
《中国医学影像学杂志》
CSCD
北大核心
2011年第1期62-65,共4页
Chinese Journal of Medical Imaging
关键词
超声检查
儿童
颈内静脉
静脉穿刺术
ultrasonography
child
carotid vein, internal
vein puncture
