文档介绍：· · ··临临临临床床床床研研研研究究究究· · ·· Site Rite5 型超声导引下结合改良塞丁格技术 的应用效果评价 Evaluationonapp licationeffectofmodifiedSelding ertechniq ueg uidedby Site RiteⅤultrasonicinp erip herally insertedcentralcatheter 杜华 DuHua FirstAffiliatedHosp ital ,AnhuiMedicalUniversity ,Anhui230022China ) 摘要:[目的]评价Site Rite5 型超声导引下结合改良塞丁格技术经外周置入中心静脉导管( )的临床应用效果。[方法]将140 例肿瘤病人肘部血管条件良好者作为对照组(85 例),差者为观察组(55 例),对照组采用常规 置管法,观察组采用Site Rite5 型超声导引下结合改良塞丁格 置管。比较两组一次性穿刺成功率、一次性置管成功率以及术后组织损伤、机械性静脉炎、血栓、误入动脉发生率。[结果]观察组一次性置管成功率高于对照组(P< ),组织损伤、机械性静脉炎发生率低于对照组(P< ),误入动脉发生率高于对照组(P< )。[结论]Site Rite 5 型超声导引下结合改良塞丁格技术 的置管成功率高、术后总体 置管法, 但存在误穿动脉的风险。关键词:经外周置入中心静脉导管; Site Rite5 型超声导引;改良塞丁格技术;并发症;护理 Abstract Obj ective :Toevaluatetheclinicalapp licationeffectofmodified Selding ertechniq ueg uidedby Site RiteⅤultrasonicinp erip herally in- sertedcentralcatheter ( ).Methods :Atotalof140casesoftumor p atientswithg oodelbowvascularconditionswereselectedascontrol g roup (85cases ),p atientswithbadelbowvascularconditionswereasthe observationg roup (55cases ).Thep atientsincontrolg roup receivedrou- methodorblindbiop sy method ,whilethep atientsinobserva- tiong roup adop tedmodifiedSelding ertechniq ueg uidedby Site RiteV .essrateofdisp osablep uncture ,disp osable essrateandincidenceofp ostop erativetissueinj ury ,mechan- icalp hlebitis ,thrombosis ,arterialstray p aredbetweenthe twog roup :Thedisp essrateinobservation