摘要
目的：比较股静脉、锁骨下静脉和颈内静脉插管留置双腔导管在血液透析中的应用。方法：１０６例尿毒症患者，４０例行股静脉插管，３６例行锁骨下静脉插管，３０例行颈内静脉插管进行血液透析（血透）。观察三种不同插管途径的血流速度、评估透析的充分程度（ＫＴ／Ｖ值）、血尿素氮重复循环率、导管留置时间以及与导管相关的并发症。结果：颈内静脉和锁骨下静脉插管的血流速度、透析效能、导管留置时间均明显高于股静脉插管，而锁骨下静脉和股静脉插管的并发症则较多。结论：三种方法比较，颈内静脉插管是一种相对更理想的血透临时性血管通路。
Objective: To compare the utility of bia catheter left in subclavical vein, femoral vein or intracervical vein in hemodialysis Methods: To investigate the blood flow velocity, KT/V value, blood urea nitrogen(BUN) recycling rate, retaining time of vein catheter and the complication associated with catheter 106 cases with uremic patients carried on hemodialysis, 36 cases were placed the bia catheter in subclavical vein, 40 cases in femoral vein and 30 cases in intracervical vein Results: The blood flow velocity, the efficiency and retaining time both in intracervical vein group or in subclavical vein group were significantly higher than that in femoral vein group However more complication happened in subclavial vein group and femoral vein group Conclusion: Intracervical vein is the better temporary vessel pathway for hemodialysis
出处
《新医学》
1999年第5期271-271,296,共2页
Journal of New Medicine
关键词
血液透析
导管留置
静脉插管
Hemodialysis Catheter retaining Vein catheter
