Chang T C, Funaki B, Szymski G X
Department of Radiology, University of Chicago Hospitals, IL 60637, USA.
AJR Am J Roentgenol. 1998 Feb;170(2):335-7. doi: 10.2214/ajr.170.2.9456941.
The purpose of this study was to determine the value and cost of obtaining routine chest radiographs after image-guided placement of internal jugular central venous catheters.
We reviewed the records of 424 patients in whom 572 internal jugular catheters were placed by sonographic and fluoroscopic guidance over a 2-year period. Inspiratory and expiratory chest radiographs obtained immediately after each procedure were also reviewed.
Routine postprocedural chest radiographs revealed no complications and did not alter the treatment of any patient. Delayed pneumothorax was detected after placement of two catheters (0.5%) when patient symptoms prompted additional radiographs.
Immediate postprocedural chest radiographs are not routinely needed after image-guided insertion of internal jugular central venous catheters and unnecessarily add to the cost of patient care.
本研究的目的是确定在影像引导下放置颈内中心静脉导管后进行常规胸部X线检查的价值和成本。
我们回顾了424例患者的记录，在2年期间通过超声和荧光透视引导放置了572根颈内静脉导管。还回顾了每次操作后立即获得的吸气和呼气胸部X线片。
常规术后胸部X线片未显示并发症，也未改变任何患者的治疗方案。当患者出现症状提示需要额外的X线片时，在放置两根导管后（0.5%）发现了延迟性气胸。
在影像引导下插入颈内中心静脉导管后，常规术后立即进行胸部X线检查并非必要，且会不必要地增加患者护理成本。
