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股静脉与颈内静脉留置双腔导管在血液透析中的应用

APPLICATION OF FEMORAL VEIN AND INTERNAL JUGULAR VEIN CATHETERIZATION WITH DOUBLE-LUMEN IN HEMODIALYSIS

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【作者】 王玉柱朱军王静毅于仲元

【Author】 WANG Yuzhu; ZHU Jun; WANG Jingyi; YU Zhongyuan(Department of Nephrology, People’s Hospital, Beijing Medical University 100044)

【机构】 北京医科大学人民医院肾内科!100044

【摘要】 目的:研究股静脉与颈内静脉留置双腔导管在血液透析中的应用。方法:46例尿毒症患者,20例行股静脉插管,26例行颈内静脉插管进行血液透析。观察两种不同插管途径的导管留置时间、与导管相关的并发症、BUN重复循环率及KT/V值。结果:颈内静脉插管的导管留置时间明显长于股静脉插管,并发症亦明显少于后者,而BUN重复循环率及KT/V值无明显差异。结论:相对而言,颈内静脉插管是一种更理想的临时性血液通路。

【Abstract】 To study the application of femoral vein catheterization (FVC) and internal jugularvein catheterization (IJVC) with double-lumen in hemodialysis. Methods: 24 FVC and 28 IJVC wereperformed in 46 uremic patients for hemodialysis and the catheters’ survival life, complications, BUNrecirculation and KT/V were observed. Results: The survival life of IJVC was longer obviously thanthat of FVC and a low incidence of complication in IJVC was also discovered. No significant differencein BUN recirculation and KT/V was noted between them. Conclusion: IJVC is relatively an ideal temporary blood access for hemodialysis.

  • 【文献出处】 北京医科大学学报 ,JOURNAL OF BEIJING MEDICAL UNIVERSITY , 编辑部邮箱 ,1997年01期
  • 【分类号】R459.5
  • 【被引频次】25
  • 【下载频次】111
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