Clinical application of ultrasound guided percutaneous right internal jugular vein catheterization in hemodialysis
- VernacularTitle:超声引导下经皮右颈内静脉穿刺置管术在血液透析中的应用
- Author:
Yihe LIU
;
Jianmin BI
;
Shunhui LIU
;
Ruizhen LIAO
;
Rong ZHANG
;
Xiuyan WU
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Right internal jugular vein;
Catheters,indwelling
- From:
Chinese Journal of Interventional Imaging and Therapy
2011;08(5):398-340
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical application of ultrasound guided percutaneous right internal jugular vein catheterization in hemodialysis,and to analyze the methods,precautions and prevention of complications of puncture.MethodsTotally 297 patients of chronic renal insufficiency with uremia underwent ultrasound guided percutaneous right internal jugular vein catheterization according to technical points of increasing the success rate of puncture.ResultsThe total successful rate of puncture was 100％.The first puncture succeeded in 244 patients (244/297,82.15 ％),the second in 30 (30/297,10.10％) and the third in 23 (23/297,7.74％) patients.The complication rate was 15.15％ (45/297).Poor adherence of catheter led to cited blood difficultly and inadequate flow in 31 patients.ConclusionUltrasound guidance can greatly improve the success rate of puncture in percutaneous right internal jugular vein catheterization,while reduce the incidence of complications.
