中国医学装备2017，Vol.14Issue(1)：58-61,4.DOI:10.3969/J.ISSN.1672-8270.2017.01.019
数字减影血管造影下血液透析长期导管改良的临床应用
Clinical application of modified long-term indewelling catheter under DSA in hemodialysis patient
摘要
Abstract
Objective:To investigate the modified method and the effect of establishing long-term catheter indwelling under DSA in hemodialysis.Methods: 68 patients were selected to treated with long-term catheter of polyester set in DSA, which were in the end stage of renal failure with long-term hemodialysis therapy. In these patients, some of them couldn't receive intra-arteriovenous fistula surgery because their arteriovenous were poor quality and others had treated with long-term catheter dwelling because their intra-arteriovenous fistula couldn't keep hemodialysis. 68 patients were divided into traditional surgery group and improved surgical group according to different operation methods. 10 cases of traditional surgery group were done with traditional long-term catheterization of internal jugular vein, and 58 cases of improved surgical group with improved long-term catheterization of internal jugular vein catheter. The traditional long-term catheterization was combined Seldinger technology with avulsion of the catheter sheath. The improved method was done by the guide wire. To observe series of operation result, such as the difficulty level, bleeding during and after operation.Results: In 10 traditional catheterization cases, 4 cases couldn't be placed catheter of polyester set under the skin at once because of the contraction of the subcutaneous tissue. 7 cases occurred bleeding above 10ml during operation. In 6 cases, there was an obvious puncture point or tunnel outlet bleeding in 48 hours. Improved intubation patients all disposable catheter placement in the desired position at once. In only 2 cases, there was a significant puncture point or bleeding in the tunnel.Conclusion: With the help of DSA guidance, long-term catheterization can be performed accurately, safely and easily. By the improved method, the amount of bleeding is smaller, and the safety effect is better.关键词
数字减影血管造影技术/双腔带Cuff长期留置导管/血液透析/改良Key words
Digital substract angiography/Long-term indwelling catheter in double cavity with Cuff/Hemodialysis/Improvement分类
医药卫生引用本文复制引用
李星,赵向阳,李鹏飞,张凤昌,贺际宏,彭强,郭影丽,李宏梅..数字减影血管造影下血液透析长期导管改良的临床应用[J].中国医学装备,2017,14(1):58-61,4.基金项目
大庆市指导性科技课题(szdy-2015-58)“DSA下带涤纶双腔血液透析导管置管的应用” （szdy-2015-58）
