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目的对比分析右侧颈部前路和中路植入带涤纶套中心静脉导管的临床应用价值。方法回顾性分析2004年7月—2012年6月于我科行右侧颈部植入带涤纶套中心静脉导管患者42例。其中从右侧颈部前路植入的患者20例为A组,从右侧颈部中路植入的患者22例为B组,观察对比两组导管的相关并发症(局部出血、血肿;导管感染;导管堵塞)、透析中血流量及透析spKt/V值的影响。结果两组的局部出血/血肿、导管感染、导管堵管比较,差异均无统计学意义(P>0.05);A组的spKt/V值、血流量均低于B组,差异有统计学意义(P<0.01)。结论从右侧颈部中路植入带涤纶套中心静脉导管在透析中有较高的透析血流量及spKt/V值,值得临床上推广应用。
Objective To compare and analyze the clinical value of right ventricle anterior cervical incision with central sleeve of polyester sheath central venous catheter. Methods A retrospective analysis of 42 cases of patients with Dacron central venous catheters implanted on the right side of neck of our hospital from July 2004 to June 2012 was performed. Among them, 20 cases were implanted in the anterior neck from the right neck in group A, and 22 cases were implanted in the right cervical neck in group B. Group B was compared with those in the two groups (local bleeding, hematoma, Infection; catheter blockage), blood flow during dialysis, and dialysis spKt / V values. Results There was no significant difference in local hemorrhage / hematoma, catheter infection and catheterization between the two groups (P> 0.05). The values of spKt / V and blood flow in group A were lower than those in group B, the difference was statistically significant (P <0.01). CONCLUSIONS: Central venous catheter with polyester sheath implanted from the right side of the neck has high dialysis blood flow and spKt / V value in dialysis, which is worth popularizing in clinic.