.床旁超声引导中心静脉置管在低血容量性休克患者中的应用*

承德医学院学报 ›› 2019, Vol. 36 ›› Issue (2): 118-121.

.床旁超声引导中心静脉置管在低血容量性休克患者中的应用^*

夏嘉鼎¹, 段立娟¹, 王春超², 唐文斌², 徐志新², 梁海静²

1.承德医学院附属医院,河北承德 067000;
2.宽城满族自治县中医院重症医学科

收稿日期:2018-11-08 出版日期:2019-04-10 发布日期:2021-11-18
基金资助:
* 承德市科技计划项目（201601A029）

APPLICATION OF BEDSIDE ULTRASOUND-GUIDED CENTRAL VENOUS CATHETERIZATION IN PATIENTS WITH HYPOVOLEMIC SHOCK

the Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China

Received:2018-11-08 Online:2019-04-10 Published:2021-11-18

摘要/Abstract

摘要： 目的:探讨低血容量性休克患者应用床旁超声引导中心静脉置管的临床效果。方法:136例ICU收治的需进行中心静脉置管的低血容量性休克患者,根据置管方式分为床旁超声引导中心静脉置管组（实验组）和Seldinger穿刺法置管组（对照组）。比较两组患者置管时间、穿刺成功率和各类并发症的发生率。结果:实验组置管时间为（7.2±1.8）分,明显短于对照组的（10.6±2.1）分（P<0.05）;实验组一次、二次及三次穿刺成功率分别为94.3%、98.6%、100.0%,均明显高于对照组（51.5%、63.6%、72.7%,P<0.05）。实验组局部血肿形成、误穿动脉发生率明显低于对照组（P<0.05）。结论:床旁超声引导中心静脉置管可提高低血容量休克患者置管成功率,并能缩短置管时间、减少并发症,具有良好的应用价值。

关键词: 床旁超声, 中心静脉置管, 低血容量性休克, 并发症

Abstract: Objective: To investigate the clinical effects of bedside ultrasound-guided central venous catheterization in patients with hypovolemic shock. Methods: 136 patients with hypovolemic shock that underwent central venous catheterization in ICU were divided into experimental group (bedside ultrasound-guided central venous catheterization) and control group (Seldinger puncture catheterization) according to catheterization mode. The catheterization time, success rate of puncture and incidence of complications of patients in 2 groups were compared. Results: The catheterization time of patients in experimental group was (7.2±1.8)min, which was obviously shorter than control group (10.6±2.1min, P<0.05). The first, second and third success rate of puncture of patients in experimental group were respectivley 94.3%, 98.6% and 100.0%, which were all obviously higher than control group (P<0.05). The incidence rate of local hematoma formation and mispuncture of artery of patients in experimental group were obviously lower than control group (P<0.05). Conclusions: Bedside ultrasound-guided central venous catheterization can increase the success rate of catheterization of patients with hypovolemic shock, also can shortern catheterization time and reduce complications, so has better application value.

Key words: Bedside ultrasound, Central venous catheterization, Hypovolemic shock, Complications

中图分类号:

R441.9

夏嘉鼎, 段立娟, 王春超, 唐文斌, 徐志新, 梁海静. .床旁超声引导中心静脉置管在低血容量性休克患者中的应用^*[J]. 承德医学院学报, 2019, 36(2): 118-121.

XIA Jia-ding, DUAN Li-juan, WANG Chun-chao, et al. APPLICATION OF BEDSIDE ULTRASOUND-GUIDED CENTRAL VENOUS CATHETERIZATION IN PATIENTS WITH HYPOVOLEMIC SHOCK[J]. Journal of Chengde Medical University, 2019, 36(2): 118-121.

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