| 摘要: |
| ［摘要］ 目的 探讨心血管内科患者中心静脉导管（central venous catheter，CVC）堵塞的主要原因。方法 对经锁骨下静脉穿刺置CVC的328例冠心病监护病房（coronary care unit，CCU）患者进行回顾性分析。结果 328例留置CVC患者中，47例发生部分堵塞，32例发生完全堵塞，堵塞的发生率为24.09%。性别、年龄、诊断及输液时间与堵管风险无明显关联性（P>0.05），输液速度、置管时间、堵管时输注药物、患者活动、输入液体种类对堵管的发生存在关联性，差异有统计学意义（P<0.05）。结论 输液速度、置管时间、输入液体的种类、输入液体的性质、患者活动等因素可增加导管的堵塞风险，注意药物配伍禁忌、控制输液速度，缩短置管时间等可减少导管堵塞的发生。 |
| 关键词: 中心静脉导管 堵塞 相关因素 |
| DOI：10.3969/j.issn.1674-3806.2016.03.24 |
| 分类号:R 452 |
| 基金项目: |
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| Correlation factors of obstruction of central venous catheter indwelled by percutaneous subclavian venipuncture: A report of 328 cases |
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XIAO Xi, QIU Xiao-qin, HU Qiong-yan, et al.
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Department of CCU, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To explore the risk factors of obstruction of central venous catheter（CVC） in patients from the department of cardiovascular diseases.Methods The clinical data were respectively analyzed in 328 patients in coronary care unit(CCU) with percutaneous subclavian indwelling of a CVC.Results The incidence of CVC obstruction was 24.09% in the patients. Partial obstruction occurred in 47 cases and complete obstruction occurred in 32 cases. There was no correlation between gender, age, diagnosis, infusion time and CVC obstruction（P>0.05）. There was significant correlation between the infusion speed, indwelling time, types of infusion liquids, the nature of the infusion liquids, the patient′s activity and CVC obstruction（P<0.05）.Conclusion The risk factors of the obstruction of CVC include the infusion speed, indwelling time, types of infusion liquids, the nature of the infusion liquids and the patient′s activity. Paying more attentions to drug incompatibility, controlling infusion speed and shortening indwelling time can reduce the risks of CVC obstruction. |
| Key words: Central venous catheter(CVC) Obstruction Related factors |
