摘要
目的 为慢性肾功能衰竭者建立永久性血液透析通路。方法 应用带涤纶环的双腔留置导管 ,为 6例患者行经皮锁骨下静脉插入术插入导管。结果 共行锁骨下静脉双腔留置导管插入术 6例 ,成功 5例 ,失败 1例。成功 5例X光摄片证实 ,导管前端位于第二肋间 ,最高血流量可达 3 5 0ml以上。测定瘘管再循环量为 4 1%～ 19 7% ,平均9 3 %。结论 应用带涤纶环双腔导管经锁骨下静脉穿刺 ,可建立长期血液透析通路 ,血流量高 ,并发症少。
Objective In an attempt to establish a prolonged hemodialysis acess for chronic renal insufficiency patient, the dural lumen catheter was used. Method Dual luman catheter with dacron-cuffed was inserted into the central venous system via subclavian vein for 6 patient. Results The operation was succeded in 5 patients, but failed in 1 patient. The X-ray image confirmed that the catheter tip was located at the second intercostal space, the maximal arterial flow rate was over 300ml/min. Recirculation percentages were caculated in 5 patients and ranged from 4.1%～19.7%, averaged in 9.3%. Conclusion The prolonged hemodia lysis access via subclavian vein can be established with dacron-cuffed dural lumen catheter and accompanied with the effect of high blood flow and low mobidity of complications.
出处
《生物医学工程与临床》
CAS
2001年第1期27-28,共2页
Biomedical Engineering and Clinical Medicine
