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[锁骨下和股静脉插管的并发症]

[Complications of subclavian and femoral cannulas].

作者信息

Herout V, Mergancová J, Erben J, Fixa P, Hájková B, Zahradník J

出版信息

Cas Lek Cesk. 1989 Sep 1;128(36):1135-7.

PMID:2805027
Abstract

In the course of 15 years in the author's department some 15,000 cannulas were inserted into the subclavian or femoral vein. This number included cca 2300 cannulas inserted to dialyzed patients. 213 patients (inl. 28 dialyzed) died with the inserted cannula. In these patients the incidence of complications was evaluated. A parietal thrombosis was the most frequent complication and was recorded in 119 cases, i.e. in 56% (in non-dialyzed in 57% and in dialyzed in 50%). In two non-dialyzed patients it was the cause of embolization into the lungs. In the incidence of complications there is no significant difference in dialyzed and non-dialyzed patients. For completeness the authors present a preliminary calculation per approximate number of inserted cannulas during this period. From the total number of 15,000 inserted cannulas fatal complications occurred in 0.06% (in dialyzed in 0.13% and non-dialyzed in 0.047%).

摘要

在作者所在科室的15年期间,约有15000根套管插入锁骨下静脉或股静脉。这个数字包括插入透析患者体内的约2300根套管。213名患者(包括28名透析患者)在套管插入状态下死亡。对这些患者的并发症发生率进行了评估。壁血栓形成是最常见的并发症,有119例记录在案,即56%(未透析患者中为57%,透析患者中为50%)。在两名未透析患者中,它是肺栓塞的原因。透析患者和未透析患者在并发症发生率上没有显著差异。为了完整起见,作者给出了在此期间每插入套管大致数量的初步计算结果。在总共15000根插入的套管中,致命并发症的发生率为0.06%(透析患者中为0.13%,未透析患者中为0.047%)。

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