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双腔导管颈内静脉置管的高位与低位进路比较

High versus low approach for internal jugular cannulation with double lumen catheters.

作者信息

Kalia P, Saxena N

机构信息

Department of Cardiac Anaesthesiology, All India Institute of Medical Sciences, New Delhi.

出版信息

Indian J Med Res. 1991 Jun;94:236-7.

PMID:1937607
Abstract

Double lumen cannulae were inserted through the right internal jugular vein (IJV) in 100 children, undergoing open heart surgery. High approach (n = 50, group I) of IJV cannulation was compared with low approach (n = 50, group II). In both the groups, hydromer coated double lumen polyurethane cannulae (Hydrocath) were introduced using Seldinger's technique; 98 per cent success rate was achieved in both the groups. Tip of cannulae was in intrathoracic position in 100 per cent patients. One patient in group I had carotid artery puncture. Catheter blockage occurred in one patient each in both the groups. Double lumen catheters are easy to insert and offer two lumens through single puncture site.

摘要

在100例接受心脏直视手术的儿童中,通过右颈内静脉插入双腔插管。将颈内静脉插管的高位入路(n = 50,第一组)与低位入路(n = 50,第二组)进行比较。两组均采用Seldinger技术插入水凝胶涂层双腔聚氨酯插管(Hydrocath);两组的成功率均达到98%。100%的患者插管尖端位于胸腔内。第一组有1例患者发生颈动脉穿刺。两组各有1例患者发生导管堵塞。双腔导管易于插入,通过单个穿刺部位提供两个管腔。

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