Tercan Fahri, Oguzkurt Levent, Ozkan Ugur, Eker Hatice Evren
Baskent Universitesi, Adana Arastirma ve Uygulama Merkezi, Radyoloji Bölümü, Dadaloglu Mah. 39 Sok No. 6, Yuregir, Adana 01250, Turkey.
Cardiovasc Intervent Radiol. 2008 May-Jun;31(3):575-80. doi: 10.1007/s00270-008-9315-7. Epub 2008 Mar 11.
The purpose of this study was to compare the technical success and complication rates of ultrasonography-guided central venous catheterization between adult and pediatric patients which have not been reported previously. In a 4-year period, 859 ultrasonography-guided central vein catheterizations in 688 adult patients and 247 catheterizations in 156 pediatric patients were retrospectively evaluated. Mean age was 56.3 years (range, 18 to 95 years) for adults and 3.3 years (range, 0.1 to 16.3 years) for children. The preferred catheterization site was internal jugular vein in 97% of adults and 85% of children. The technical success rate, mean number of punctures, and rate of single wall puncture were 99.4%, 1.04 (range, 1-3), and 83% for adults and 90.3%, 1.25 (range, 1-5), and 49% for children, respectively. All the differences were statistically significant (p < 0.05). Complication rates were 2.3% and 2.4% for adults and children, respectively (p > 0.05). Major complications such as pneumothorax and hemothorax were not seen in any group. In conclusion, ultrasonography-guided central venous catheterization has a high technical success rate, lower puncture attempt rate, and higher single wall puncture rate in adults compared to children. Complication rates are comparable in the two groups.
本研究的目的是比较成人和儿童患者超声引导下中心静脉置管的技术成功率和并发症发生率，此前尚无相关报道。在4年的时间里，对688例成年患者的859次超声引导下中心静脉置管和156例儿科患者的247次置管进行了回顾性评估。成人的平均年龄为56.3岁（范围18至95岁），儿童为3.3岁（范围0.1至16.3岁）。97%的成人和85%的儿童首选的置管部位是颈内静脉。成人的技术成功率、平均穿刺次数和单壁穿刺率分别为99.4%、1.04（范围1 - 3）和83%，儿童分别为90.3%、1.25（范围1 - 5）和49%。所有差异均具有统计学意义（p < 0.05）。成人和儿童的并发症发生率分别为2.3%和2.4%（p > 0.05）。两组均未出现气胸和血胸等严重并发症。总之，与儿童相比，超声引导下中心静脉置管在成人中具有较高的技术成功率、较低的穿刺尝试率和较高的单壁穿刺率。两组的并发症发生率相当。
