Church Joseph T, Jarboe Marcus D
Department of Surgery, University of Michigan Health System, 2110 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Section of Pediatric Surgery, Department of Surgery, University of Michigan Health System, 1540 East Medical Center Drive, SPC 4211, Ann Arbor, MI 48109, USA.
Surg Clin North Am. 2017 Feb;97(1):113-128. doi: 10.1016/j.suc.2016.08.007.
Vascular access procedures are an important and frequent component of the day-to-day practice of the pediatric surgeon. Most access procedures can be performed percutaneously via Seldinger or modified Seldinger technique and are aided by technology, such as ultrasound and fluoroscopy. Complications, such as infection, do occur, and the pediatric surgeon should be able to diagnose and treat these when they arise. The indications, techniques, and complications of vascular access are covered in this article.
血管通路操作是小儿外科医生日常工作中的一个重要且常见的组成部分。大多数通路操作可通过经皮穿刺采用塞丁格技术或改良塞丁格技术进行,并借助超声和荧光透视等技术辅助。诸如感染等并发症确实会发生,小儿外科医生在并发症出现时应能够对其进行诊断和治疗。本文涵盖了血管通路的适应证、技术及并发症。