Three lumen central venous catheter in critically ill patients
王燕 1彭祺 1王珉1
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作者信息
1. 青岛市市立医院急诊科,山东青岛 266011
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摘要
中心静脉血管通路装置为导管尖端定位于中心静脉的导管,目前临床常用的中心静脉血管通路包括经颈内静脉、锁骨下静脉、股静脉置入的中心静脉导管(central venous catheter,CVC),经外周静脉置入的中心静脉导管(peripherally inserted central catheter,PICC),经颈内或锁骨下静脉的完全植入式静脉输液港(implantable venous accessport,IVAP).危重症患者需快速、大量补液,以维持血流动力学的稳定,需要准确、快速的留置中心静脉通路,三腔CVC和PICC置管存在各自的并发症如导管相关血流感染、血栓、气胸、臂丛神经损伤、胸导管损伤、心律失常等,目前指南关于CVC和PICC的选择尚无明确推荐意见.
Abstract
central venous vascular access devices are catheters with tips positioned with in a central vein.Currently,commonly used central venous access includes central venous catheter(CVC)inserted through the internal jugular vein,subclavian vein,and femoral vein,peripherally insert-ed central catheter(PICC)inserted through a peripheral vein,and completely implantable venous accessport(IVAP)inserted through an intrajugular or subclavian vein.In critical patients,rapid and massive fluid rehydration is required to maintain hemodynamic stability,and accurate and prompt central venous access is often necessary.Three-lumen CVC and PICC catheterization have their own complications,such as catheter-related bloodstream infection,thrombosis,pneumo-thorax,brachial plexus nerve injury,thoracic duct injury,arrhythmia,etc.At present.There is no clear recommendation on the choice of CVC and PICC in the guide.
关键词
三腔中心静脉导管/血栓/导管相关血流感染
Key words
Three-lumen central venous catheter/thrombosis/Catheter-associated bloodstream infection
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