Central venous catheter-related thrombosis in elderly patients
10.3969/j.issn.1009-0126.2015.11.011
- VernacularTitle:老年患者中心静脉导管相关性血栓发生情况调查
- Author:
Gao LIU
;
Zhiqing FU
;
Shijun LI
- Publication Type:Journal Article
- Keywords:
catheterization,central venous;
thrombosis;
catheters,indwelling;
subclavian vein;
risk factors
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2015;(11):1163-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors for thrombosis by investigating the incidence of central venous catheter‐related thrombosis in elderly patients .Methods Four hundred and five elderly patients who underwent central venous catheterization were divided into femoral vein group(n=46) ,internal jugular vein group (n=40) and subclavian vein group (n=319) according to their catheter position ,or into thrombosis group (n=31) and non‐thrombosis group (n=374) according to the incidence of central venous catheter‐related thrombosis .T heir gender ,age ,basic diseases ,catheter position ,retention time of catheter ,and complications of central venous catheter‐related thrombosis were retrospectively analyzed .Results The incidence of central venous cathe‐ter‐related thrombosis was significantly lower in subclavian vein group than in internal jugular vein group and femoral vein group (5 .0% vs 15 .0% ,5 .0% vs 19 .6% ,P<0 .05 ,P<0 .01) .The percentage of past venous thrombosis history was significantly higher in thrombosis group than in non‐thrombosis group (19 .4% vs 6 .4% ,P<0 .05) .Conclusions Subclavian vein catheterization can significantly reduce the incidence of central venous catheter‐related thrombosis and past ve‐nous thrombosis history can predict the incidence of central venous catheter‐related thrombosis in elderly patients .