超声引导下深静脉置管在急诊中的应用效果

兰永怀，程永涛，郑冰，霍延伟，隋小强，赵新昂，周铜，唐映利，刘泳

（陕西省兵器五二一医院，陕西 西安，710065）

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摘要：

目的 探究超声引导下深静脉置管在急诊中的应用效果。方法 选取2015 年4 月至2017 年6 月我科室收治的100 例深 静脉穿刺患者，采用随机抽签分类法将所有的患者分为参照组和研究组，每组50 例。参照组采用普通盲探穿刺法，研究组采 用超声引导下穿刺法，评估两组患者的穿刺时间、手术成功率、出血量、穿刺效果及术后并发症发生率。结果 研究组患者的 穿刺时间短于参照组，出血量少于参照组，手术成功率高于参照组，并发症总发生率明显低于参照组，穿刺优良率高于参照 组（P<0.05）。结论 对深静脉穿刺患者采用超声引导下穿刺法进行穿刺，患者的穿刺时间较短，穿刺效果较好，手术成功率较 高，出血量较少，术后并发症发生率较低，非常适合在急诊科开展应用。

关键词：超声引导；深静脉置管；急诊

中图分类号：R459.7文献标志码：A文章编号：2096-1413(2018)03-0048-02

Application effect of ultrasound-guided deep venous catheterization in emergency LAN Yong-huai, CHENG Yong-tao, ZHENG Bing, HUO Yan-wei, SUI Xiao-qiang, ZHAO Xin-ang, ZHOU Tong,
TANG Ying-li, LIU Yong
(Ordnance Industry 521 Hospital of Shaanxi Province, Xi``an 710065, China)

ABSTRACT: Objective To explore the application effect of ultrasound-guided deep venous catheterization in emergency. Methods From April 2015 to June 2017, 100 patients with deep vein puncture in our department were selected and divided into reference group and study group by random lottery taxonomy method, with 50 cases in each group. The reference group used ordinary blind piercing method, while the study group received ultrasound-guided deep venous catheterization. The puncture time, operation success rate, bleeding volume, puncture effect and postoperative complication rate were evaluated in both groups. Results Compared with the reference group, the puncture time was shorter, the bleeding volume was less, the successful rate of operation was higher, the total complication rate was lower, the excellent rate of puncture was higher than those of the reference group (P<0.05). Conclusion Ultrasound-guided deep venous catheterization has shorter puncture time, good puncture effect, high operation success rate, less bleeding volume, low complication rate, which is very suit原 able to be applied in emergency department.
KEYWORDS: ultrasound-guided; deep venous catheterization; emergency

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