摘要
目的 探讨小儿急诊血液灌流(HP)与腹膜透析(PD)建立通路的方法和安全性。方法 3例患儿采用贝朗公司急性腹透导管于脐下3cm处作床旁腹腔穿刺插管术行PD;9例患儿采用13.5cm规格的Quinton双腔导管,以Seldinger方法作右股静脉插管术行HP。结果 3例(73天婴儿5天后转院、痊愈2例)PD患儿硬管穿刺均成功,留置时间8天～32天(一周后因漏液而换软管);9例(痊愈5例,死亡4例)HP患儿穿刺插管成功8例,失败1例(改静脉切开);两种方法均未发生插管并发症。结论 经皮穿刺插管术简便安全,其快速建立透析通路的方法值得在基层医院小儿急诊抢救中推广应用。
Objective To investigate approaches and safety of temporary accesses in hemoperfusion (HP)and peritoneal dialysis(PD) among infants and children. Methods The acute peritoneal cathetcrs were placed in 3 infants and children. Insertion was guided in 3 cm below the umbiticus by a sharpened stylet guide wire. The dual- lumen venous catheters were placed at the right femoral vein in 9 infants and children by Seldinger's technique. Results Two PD children have recovered, one PD infant was transferred to other hos-pital after 5 days treatment. The catheters were used 8 to 32 day. 5 HP patients have recovered and 4 died. There were 8 HP patients inserted successfully and another children failed. No comph'cations of catheteriza-tions were found in two methods. Concluskms Catheterization in blood purification among infants and children were convenient and reliable. This approach is worth to be used in primary hospital.
出处
《中国血液净化》
2002年第4期28-29,共2页
Chinese Journal of Blood Purification
关键词
经皮穿刺
插管术
血液净化
Transderrtlic puncture
Catheterization
Blood purification
