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[使用动脉内心电图记录控制腔静脉导管位置]

[Control of the cava-catheter position using intra-arterial ECG recording].

作者信息

März P, Postel J, Zierl O

出版信息

Anaesthesist. 1984 Feb;33(2):123-7.

PMID:6711798
Abstract

The intraatrial ECG recording method is represented along with the results of 3.000 cases. If the catheter is filled with electrically conducting fluid, ECG potentials may be led from the catheter-tip by using the adapter mentioned below. With the characteristic high intraatrial-p-wave one can easily determine the transitional zone of the vena cava in the right atrium. Permanent ECG control enables the cava-catheter to be localized and, if necessary, it's position may be corrected. The safety instructions of VDE 0107 must be strictly observed. This method is not only time saving and simple, it also has high information value and makes an important contribution to cost saving in hospitals. From the legal aspect, it is also recommended that the results of controlling ECG position be documented.

摘要

本文展示了心房内心电图记录方法以及3000例病例的结果。如果导管中充满导电流体,可使用下述适配器从导管尖端引出心电图电位。凭借特征性的高心房P波,能够轻松确定右心房内腔静脉的过渡区。持续的心电图监测可实现腔静脉导管的定位,必要时还可对其位置进行校正。必须严格遵守VDE 0107的安全说明。该方法不仅省时且操作简单,还具有很高的信息价值,对医院节约成本有重要贡献。从法律角度来看,也建议记录心电图位置控制的结果。

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