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目的评价长期深静脉留置导管作为血液透析通路的效果。方法采用Seldinger技术穿刺深静脉,留置导管通过撕脱型外套送入血管。结果共计30例患者,其中颈内静脉28例,股静脉2例。留置最长时间达35.5个月,平均导管留置时间为7.5个月。3例因患者烦躁而自行拔出,2例患者因感染无法控制拔管,其余25例患者仍然继续应用该导管透析。结论长期深静脉留置导管使用时间长,栓塞率、感染率低,可满足血液透析要求,值得推广应用。
Objective To evaluate the effect of long-term deep vein catheterization as a hemodialysis access. Methods Seldinger technique was used to puncture the deep vein and the indwelling catheter was delivered to the blood vessel through avulsion-type coat. Results A total of 30 patients, including 28 cases of jugular vein, femoral vein in 2 cases. The longest stay of 35.5 months, the average catheter retention time of 7.5 months. Three patients were self-irritated and pulled out. Two patients were unable to control their extubation due to infection. The remaining 25 patients continued to use this catheter. Conclusion The long-term use of long-term deep vein catheterization, embolic rate, infection rate is low, can meet the requirements of hemodialysis, it is worth to promote the application.