静脉内心电图引导中心静脉置管新技术的临床应用

基础医学与临床 ›› 2010, Vol. 30 ›› Issue (6): 651-653.

静脉内心电图引导中心静脉置管新技术的临床应用

徐仲煌谭刚任洪智黄宇光罗爱伦

中国医学科学院北京协和医学院北京协和医院麻醉科中国医学科学院北京协和医学院北京协和医院麻醉科中国医学科学院北京协和医学院北京协和医院麻醉科中国医学科学院北京协和医学院北京协和医院麻醉科中国医学科学院北京协和医学院北京协和医院麻醉科

收稿日期:2010-03-23 修回日期:2010-04-09 出版日期:2010-06-05 发布日期:2010-06-05
通讯作者: 任洪智

Clinical Use of New Intravenous Electrocardiogram (ECG) Guided Central Venous Catheterization

Zhong-huang XU, Gang TAN, Hong-zhi REN, Yu-guang HUANG, Ai-lun LUO

Dept. of Anesthesiology, PUMC Hospital, CAMS & PUMC Department of Anesthesia, PUMC Hospital, CAMS & PUMC Dept. of Anesthesiology, PUMC Hospital, CAMS & PUMC

Received:2010-03-23 Revised:2010-04-09 Online:2010-06-05 Published:2010-06-05
Contact: Hong-zhi REN,

摘要/Abstract

摘要： 目的评估新型心电图（ECG）引导中心静脉置管技术的有效性和安全性。方法 80例临床拟行中心静脉置管的择期手术全麻病人，根据置管方式分为颈内静脉（组1）和锁骨下静脉（组2）两组各40例。导管深度和方向的确定依据ECG中II导P波的变化。记录置管深度、中心静脉压（CVP）以及相关并发症。导管固定后采用X-ray（后前位胸片）确定导管位置。结果采用ECG引导方式，其置管成功率约为98.7%(77/78) 。同时，其置入深度较传统方式浅（P＜0.05）结论新型静脉内ECG引导中心静脉置管技术可有效提高中心静脉置管到位率，指导置管方向，提高安全性并降低相关费用。

关键词: 中心静脉置管心电图并发症

Abstract: Objective To evaluate the effectiveness and safety of new intravenous Electrocardiogram (ECG) guidance to confirm accurate positioning of central venous catheters (CVC). Methods 80 patients were divided into two groups by the CVC pathway: internal jugular vein group(Group 1, n=40) and right subclavian vein group (G2, n=40), and CVC placed using right-atrial ECG to guide catheter tip positioning. The depth of the CVC, central venous pressure (CVP)，and CVC related complications were recorded during the observation. RESULTS The frequency of emergence of the typical P-wave were 98.7% (77/78). The depth of the catheter placed with the ECG guidance was significantly shorter than the estimated value by the traditional formula. Conclusions ECG guidance allows for more accurate CVC placement, and should be considered to increase patient safety and reduce costs associated with repositioning procedures.

Key words: Central venous catheterization, Electrocardiogram, Complication

徐仲煌谭刚任洪智黄宇光罗爱伦. 静脉内心电图引导中心静脉置管新技术的临床应用[J]. 基础医学与临床, 2010, 30(6): 651-653.

Zhong-huang XU; Gang TAN; Hong-zhi REN; Yu-guang HUANG; Ai-lun LUO. Clinical Use of New Intravenous Electrocardiogram (ECG) Guided Central Venous Catheterization[J]. Basic & Clinical Medicine, 2010, 30(6): 651-653.