长期胃肠外营养：静脉通路问题

Long-term parenteral nutrition: problems with venous access.

作者信息

McIntyre A S, Gertner D J, Wood S, Phillips R K, Lennard-Jones J E

机构信息

Department of Gastroenterology, St Mark's Hospital, London.

出版信息

J R Soc Med. 1990 Jun;83(6):371-2. doi: 10.1177/014107689008300611.

DOI:10.1177/014107689008300611

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1292687/

Abstract

Long-term parenteral nutrition requires central venous access, often difficult in patients who have had several central venous catheterizations. Therapy may be complicated by thrombosis and sepsis which may further compromise central access. We report five cases illustrating such difficulties and suggest that these patients be referred early to specialist centres where experienced catheter insertion and management results in a greatly reduced incidence of complications.

摘要

长期肠外营养需要中心静脉通路，这在已经进行过多次中心静脉置管的患者中往往很困难。治疗可能会因血栓形成和败血症而复杂化，这可能会进一步影响中心静脉通路。我们报告了5例说明此类困难的病例，并建议将这些患者尽早转诊至专科中心，在那里经验丰富的导管插入和管理可大大降低并发症的发生率。

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