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[围手术期经中心静脉导管给予高热量营养支持。对404例患者的前瞻性研究]

[Perioperative high-caloric alimentation with the central venous catheter. Prospective study in 404 patients].

作者信息

Stock W, Weber M, Doht R

出版信息

Dtsch Med Wochenschr. 1985 Jun 14;110(24):943-8. doi: 10.1055/s-2008-1068936.

DOI:10.1055/s-2008-1068936
PMID:3922730
Abstract

Peri-operative high-calorie nutrition was administered, through a total of 500 catheters introduced into the superior vena cava via the subclavian vein, to 404 patients admitted to hospital for gastro-intestinal cancer resection or other major abdominal operations, some of them taking a complicated course. Most of the catheters remained in situ for 6-20 days; the longest period was 44 days. Catheter insertion was successful in 97.8%. Faulty position of the catheter occurred in 4.4%; in 2.8% it was rectified under fluoroscopic control. In 92.2% there were no complications ascribable to the catheter. A pneumothorax resulted in 1.4% of patients, central thrombosis in 0.4%. Catheter-related sepsis was noted in 6.2%.

摘要

通过经锁骨下静脉插入上腔静脉的总计500根导管,对404例因胃肠道癌切除术或其他腹部大手术入院的患者给予围手术期高热量营养支持,其中一些患者病程复杂。大多数导管留置原位6 - 20天;最长留置期为44天。导管插入成功率为97.8%。导管位置错误发生率为4.4%;其中2.8%在透视控制下得到纠正。92.2%的患者未出现与导管相关的并发症。1.4%的患者发生气胸,0.4%发生中心血栓形成。导管相关败血症发生率为6.2%。

相似文献

1
[Perioperative high-caloric alimentation with the central venous catheter. Prospective study in 404 patients].[围手术期经中心静脉导管给予高热量营养支持。对404例患者的前瞻性研究]
Dtsch Med Wochenschr. 1985 Jun 14;110(24):943-8. doi: 10.1055/s-2008-1068936.
2
Central venous catheterization for parenteral nutrition. Experience at Groote Schuur Hospital.用于胃肠外营养的中心静脉置管。格罗特·舒尔医院的经验。
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Bacteriology and phlebography in catheterization for parenteral nutrition. A prospective study.肠外营养置管中的细菌学与静脉造影术。一项前瞻性研究。
Acta Chir Scand. 1980;146(2):115-9.
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[Prospective study of complications of central venous catheters].
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Complications and cost associated with parenteral nutrition delivered to hospitalized patients through either subclavian or peripherally-inserted central catheters.通过锁骨下静脉或外周静脉穿刺中心静脉导管为住院患者提供肠外营养所带来的并发症及费用。
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Subclavian vein catheterisation for parenteral nutrition.用于肠外营养的锁骨下静脉置管术
Ann R Coll Surg Engl. 1988 May;70(3):150-2.

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Anatomical bases for a safe method of subclavian venipuncture. Clinical experience in 350 cases.一种安全的锁骨下静脉穿刺方法的解剖学基础。350例临床经验。
Surg Radiol Anat. 1989;11(2):91-5. doi: 10.1007/BF02096462.
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[Morbidity and mortality after elective resections of colorectal cancers].[结直肠癌择期切除术后的发病率和死亡率]
Langenbecks Arch Chir. 1991;376(2):93-101. doi: 10.1007/BF01263466.