Percutaneous central venous catheter drainage for interventional treatment of complications in abdominal surgical diseases
10.3760/cma.j.issn.1008-6706.2012.11.026
- VernacularTitle:经中心静脉导管介入治疗腹部外科疾病并发症
- Author:
Xin CHEN
;
Zhidong XUAN
;
Zhi ZHU
- Publication Type:Journal Article
- Keywords:
Abdominal cavity;
Complication;
Central venous catheter;
Drainage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(11):1652-1653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effica of central venous catheter drainage in interventional treatment of abdominal surgical complications.Methods The clinical data of 72 cases of abdominal surgical diseases were retrospectively analyzed,the complications included 23 cases of ascites,19 cases of bile leakage,8 cases of pancreatic fistula,7 cases of pancreatic necrosis and 15 cases of abdominal abscess,they all underwent percutaneous central venous catheter drainage under the guidance of ultrasound or CT.Results Central venous catheter was placed in 72 cases successfully in one time,the cathetem were kept for 2 to 37 days,5 discharged cases with catheter underwent regular reexamination in the clinic.3 cases of ascites were replaced for catheter shedding; 17 cases for occlusion recieved catheter irrigation and guidewire dredging;2 cases of pancreatic necrosis and 1 case of peripancreatic abscess were cured by repeated puncture and replacement of large-bore catheter.2 cases of pancreatic necrosis,1 case of pancreatic fistula and 1 case of appendicitis underwent laparotomy finally; 1 case of postcholecystectomy bile leakage underwent endoscopic stent therapy; 1 cases of severe pancreatitis complicated with ARDS was treated in ICU.Conclusion Central venous catheter drainage guided by ultrasound or CT for treatment of abdominal surgical complications was not only safe but also effective,and is worthy of popularization and application.
