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[中心静脉导管所致静脉血栓形成。41例静脉造影研究]

[Venous thrombosis caused by central catheters. Phlebographic study of 41 cases].

作者信息

Frère D, Fastrez R

出版信息

Sem Hop. 1983 Nov 17;59(42):2910-4.

PMID:6318327
Abstract

Forty-one central catheters placed in 37 patients were subjected to a twofold phlebographic study - classic angiography of the main veins, and injection of a radio-opaque fluid while withdrawing the catheter under fluoroscopy. Although data from the literature shows a high incidence of venous thrombosis due to central catheters, we only found 3 positive results in our series of 37 patients (8%). A fibrin sheath develops along the entire length of the catheter, and, in cases of thrombosis, the point at which the catheter penetrates the central venous system is always involved.

摘要

对37例患者置入的41根中心静脉导管进行了双重静脉造影研究——对主要静脉进行经典血管造影,并在荧光透视下拔出导管时注入不透射线的液体。尽管文献数据显示中心静脉导管导致静脉血栓形成的发生率很高,但在我们的37例患者系列中仅发现3例阳性结果(8%)。纤维蛋白鞘沿导管全长形成,在血栓形成的情况下,导管穿透中心静脉系统的部位总是会受累。

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