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肘关节以上贵要静脉、头静脉应用血管超声配合改良塞丁格技术置入 PICC 的对比研究

付小伟 顾志菊

实用临床医药杂志Issue(22):28-30,44,4.
实用临床医药杂志Issue(22):28-30,44,4.DOI:10.7619/jcmp.201422009

肘关节以上贵要静脉、头静脉应用血管超声配合改良塞丁格技术置入 PICC 的对比研究

Comparative research of ultrasound combined with PICC implantation of modified seldinger technique in cephalic veinand basilic vein above the elbow

付小伟 1顾志菊1

作者信息

  • 1. 江苏省连云港市第一人民医院 39 病区,江苏 连云港,222002
  • 折叠

摘要

Abstract

ABSTRACT:Objective To compared the effect of ultrasound combined with PICC implanta-tion of modified seldinger technique in cephalic vein and basilic vein above the elbow.Methods To-tally 60 patients were divided into basilic vein group with 30 cases and cephalic vein group with 30 cases.The incidence of thrombosis,inflammation and infection in intravenous of the two groups were statistical recorded.Results Ectopic rate of cephalic vein group reached 7.5% while the basilic vein group didn′t occurred ectopic rate(P <0.01).Phlebitis incidence in the cephalic vein group was 10% while there was no occurrence in the basilic vein group (P <0.01).The infection rate in the cephalic vein group was 3.3% while no infection occurred in the basilic vein group(P <0.01).The incidence of thrombosis in the basilic vein group was 10% while no thrombosis hap-pened in the cephalic vein group(P <0.01).Conclusion The one-time success rate of catheteri-zation,phlebitis and infection are lower of ultrasound combined with PICC implantation of modified seldinger technique in basilic vein above the elbow,but thrombosis rate is higher,cephalic vein is the opposite.Reasonable vascular puncture should be chosen in clinic.

关键词

肘关节以上/贵要静脉/头静脉/血管超声/改良塞丁格技术/PICC

Key words

above the elbow/basilic vein/cephalic vein/ultrasound/modified seldinger technique/PICC

分类

医药卫生

引用本文复制引用

付小伟,顾志菊..肘关节以上贵要静脉、头静脉应用血管超声配合改良塞丁格技术置入 PICC 的对比研究[J].实用临床医药杂志,2014,(22):28-30,44,4.

基金项目

级青年英才豪森基金科研立项 ()

实用临床医药杂志

OACSTPCD

1672-2353

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