Wojcieszek Ewa, Misiołek Hanna, Kucia Hanna, Karpe Jacek, Kadela Jarosław, Werszner Magdalena
Oddziału Anestezjologii i Intensywnej Terapii, Centrum Onkologii-Instytutu Onkologii im. M. Skłodowskiej-Curie w Gliwicach.
Wiad Lek. 2002;55(3-4):197-205.
Catheters with the double lumen are commonly used in order to obtain the temporary access to circulation enabling hemodialysis in patients with renal failure. The placement of catheter in the central vein is not entirely safe procedure. Instead it involves the number of complications connected with both the insertion of catheter and leaving it in the vessel for a longer time. In 66 patients with renal failure the authors have analysed those complications which accompanied the catheterization of central veins. In those patients the temporary access to circulation was obtained by the puncture of jugular internal or subclavian vein. There were 21 men in the examined group at the age of 40-77 years (61 on average) and 45 women at the age of 26-78 years (57 on average). The obtained results were statistically analysed. It turned out that the complications appeared in 23 cases which was 36.4% of the examined group. The most frequent complications were infections (35%), thrombotic changes in the catheter lumen (35%) and haematoma or bleeding (21%). The incidence of infection, thrombotic changes and bleeding in the place of catheter insertion was similar in each of applied central accesses. However, the incidence of bleeding in the place of the insertion of catheter was significantly higher in patients with coagulation disorders.
双腔导管常用于为肾衰竭患者建立临时血液循环通路以进行血液透析。将导管置入中心静脉并非完全安全的操作。相反，它会引发一些与导管插入及长时间留置在血管内相关的并发症。作者对66例肾衰竭患者中心静脉置管所伴随的并发症进行了分析。在这些患者中，通过穿刺颈内静脉或锁骨下静脉获得临时血液循环通路。受检组中有21名男性，年龄在40 - 77岁（平均61岁），45名女性，年龄在26 - 78岁（平均57岁）。对所得结果进行了统计学分析。结果显示，23例出现了并发症，占受检组的36.4%。最常见的并发症是感染（35%）、导管腔内血栓形成（35%）以及血肿或出血（21%）。在每种应用的中心通路中，导管插入部位的感染、血栓形成和出血发生率相似。然而，凝血功能障碍患者导管插入部位的出血发生率显著更高。
