Queirós J, Cabrita A, Maximino J, Lobato L, Silva M, Xavier E
Serviço de Nefrologia, Hospital Geral de Santo António, Porto, Portugal.
Nephrologie. 1994;15(2):113-5.
A prospective study was done during a six-month period to evaluate number, function, difficulties of placement and immediate and late complications of central venous catheters for hemodialysis. One hundred and three catheters were placed, 78 double lumen and 25 single lumen, using Seldinger technique. The places of implantation were: right subclavian in 79, left subclavian in 13, right jugular in 8 and 3 in the right femoral vein; 62 were first catheters. We needed a mean of 2 punctures to enter the goal vein, and in 4 the place of implantation had to be changed. Catheters remained in place for a mean of 21 days. Six catheters were lost to follow-up. Immediate complications were 2 hemothorax, 3 punctures of the artery and 3 malpositioned catheters. Late complications were 12 local infections, 7 associated with sepsis. Twenty catheters occluded but removal was only necessary in 10. There was no statistic difference in incidence of complications between single lumen and double lumen catheters (X2).
在六个月期间进行了一项前瞻性研究，以评估用于血液透析的中心静脉导管的数量、功能、放置难度以及即刻和晚期并发症。采用Seldinger技术放置了103根导管，其中78根为双腔导管，25根为单腔导管。植入部位分别为：右锁骨下静脉79例，左锁骨下静脉13例，右颈内静脉8例，右股静脉3例；62例为首次置管。进入目标静脉平均需要2次穿刺，4例需要更换植入部位。导管平均留置21天。6例失访。即刻并发症包括2例血胸、3例动脉穿刺和3例导管位置不当。晚期并发症包括12例局部感染，7例合并脓毒症。20根导管堵塞，但仅10根需要拔除。单腔导管和双腔导管并发症发生率无统计学差异（X2）。
