Albert A, Wendt M, Reiffer B
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, WWU Münster.
Infusionstherapie. 1990 Jun;17(3):168-72.
We retrospectively studied 617 insertions of multilumen-catheters in 570 cardiosurgical patients. Number of catheters, insertion technique, indwelling period, catheter insertion site, specific positions and complications of insertion were evaluated by anesthetic chart and chest x-ray. In most cases the catheters were placed by a percutaneous insertion lock in the right or left v. jugularis interna as main site. Early complications mainly occurred because of incorrect placements. Post-operative radiological control by chest x-ray nearly showed 67% malpositions mainly resulting from the catheter placed not sufficiently far within the insertion lock. Though the catheter initially was placed correctly, it slided back to the insertion lock under mechanical influence on the site of fixation. In only 3 of 617 cases we found a too far inserted catheter. In these cases insertion was made by a Seldinger guidewire after direct venipuncture.
我们回顾性研究了570例心脏外科手术患者的617次多腔导管插入情况。通过麻醉记录和胸部X光评估导管数量、插入技术、留置时间、导管插入部位、特定位置及插入并发症。多数情况下，导管经皮穿刺插入锁定，主要部位为右侧或左侧颈内静脉。早期并发症主要因放置不当所致。术后胸部X光放射学检查显示近67%的导管位置不当，主要是因为导管在插入锁定装置内放置不够深。尽管导管最初放置正确，但在固定部位受机械影响后滑回插入锁定装置。在617例中仅3例发现导管插入过深。在这些病例中，经直接静脉穿刺后通过Seldinger导丝进行插入。
