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双腔锁骨下透析导管用于急性血管通路的前瞻性评估。

Prospective evaluation of a double-lumen subclavian dialysis catheter for acute vascular access.

作者信息

Silberman H, Berne T V, Escandon R

机构信息

Department of Surgery, University of Southern California, Los Angeles.

出版信息

Am Surg. 1992 Aug;58(8):443-5.

PMID:1642376
Abstract

The safety and efficacy of a parallel, double-lumen hemodialysis catheter used to achieve acute, temporary vascular access were evaluated prospectively in 134 hospitalized adult patients in whom 162 catheters were placed. The arterial flow rates and venous resistance were such that 84 per cent of the catheters provided satisfactory access for dialysis. Minor manipulations of the catheter were frequently required to maximize function. Three serious complications occurred, including one instance each of pneumothorax, hemorrhage, and nonfatal pericardial tamponade.

摘要

前瞻性评估了一种用于实现急性临时血管通路的平行双腔血液透析导管在134例住院成年患者中的安全性和有效性,这些患者共置入了162根导管。动脉血流量和静脉阻力表明,84%的导管为透析提供了满意的通路。为使功能最大化,经常需要对导管进行轻微操作。发生了3例严重并发症,包括1例气胸、1例出血和1例非致命性心包填塞。

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