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新生儿重症监护病房中心静脉导管血栓检测

Thrombus detection on central venous catheters in the neonatal intensive care unit.

作者信息

Tanke R B, van Megen R, Daniëls O

机构信息

Academic Children's Heart Center, St. Radboud Academic Hospital, Nijmegen, The Netherlands.

出版信息

Angiology. 1994 Jun;45(6):477-80. doi: 10.1177/000331979404500610.

DOI:10.1177/000331979404500610
PMID:8203775
Abstract

Between September, 1989, and September, 1992, 193 infants were investigated prospectively for development of central-venous-catheter-induced thrombosis. In 25 infants intracardiac or central-venous-catheter-induced thrombosis was demonstrated (13%). A slightly higher incidence of thrombosis was found in infants with umbilical catheters in comparison with infants with subclavian catheters, although no significant difference was demonstrated. The results make clear that central venous catheters in neonatal intensive care have considerable risk in developing central venous or intracardiac thrombosis, and echocardiography is an excellent technique for diagnosing these thromboses.

摘要

在1989年9月至1992年9月期间,对193例婴儿进行了前瞻性研究,以调查中心静脉导管相关血栓形成的发生情况。在25例婴儿中发现了心内或中心静脉导管相关血栓形成(13%)。与使用锁骨下导管的婴儿相比,使用脐静脉导管的婴儿血栓形成发生率略高,尽管未显示出显著差异。结果表明,新生儿重症监护中的中心静脉导管在发生中心静脉或心内血栓形成方面有相当大的风险,而超声心动图是诊断这些血栓形成的优秀技术。

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