超声监测下内测量法对PICC导管尖端定位技术的临床应用分析-影像医学与核医学专业论文.docxVIP

III III 超声监测下内测量法对 PICC 导管尖端定位技术的临床应用研究 英文摘要 10.59%.(X2=5.292，P=0.021). Regarding the successful rate of the intervention group, there was no significant statistical difference on the insertion depth between the two sides. Conclusion: The method using ultrasonic monitoring when retracting the guide wire to identify the tip of PICC had a similar successful rate as an X-ray. It not only allowed the timely detection and adjustment of the guide wire movement, but also made it feasible to measure the length of the catheter in the brachiocephalic vein and superior vena cava. It was better than the traditional body surface measurement in terms of the success rate and the accuracy of the actual length measurement. Compared with other identification methods, this method was quicker, more accurate, less painful, simple and repeatable and is suggested as the most suitable method to be used to identify the catheter depth during PICC for most adults. Some patients required a combination of body X-ray measurement and the body surface measurement. key words：ultrasonography; catheterization; PICC；tip position Written by：Qian Feng Supervised by：Xing Wei 目 录 HYPERLINK \l _bookmark0 研究背景1 HYPERLINK \l _bookmark1 资料、方法及性能指标 11 HYPERLINK \l _bookmark2 结 果15 HYPERLINK \l _bookmark3 附 图18 HYPERLINK \l _bookmark4 讨 论22 HYPERLINK \l _bookmark5 结 论28 HYPERLINK \l _bookmark6 展 望29 HYPERLINK \l _bookmark7 参考文献30 HYPERLINK \l _bookmark8 综 述34 HYPERLINK \l _bookmark9 中英文缩略词对照表48 HYPERLINK \l _bookmark10 攻读学位期间公开发表的论文49 HYPERLINK \l _bookmark11 致 谢50 超声监测下内测量法对 P 超声监测下内测量法对 PICC 导管尖端定位技术的临床应用研究 研究背景 研究背景超声监测下内测量法对 研究背景 超声监测下内测量法对 PICC 导管尖端定位技术的临床应用研究 PAGE PAGE 13 PAGE PAGE 10 研究背景 静脉输液是临床常用的治疗手段之一，为了降低药物的外渗，避免各类药物尤其 是化疗药物对血管的刺激，避免反复穿刺，保护外周血管，或者临床需要大量输血、 补液和测量中心静脉压时常需要进行中心静脉置管(Central Venous Catheters，CVC)， 即经皮穿刺 HYPERLINK /view/6750636.htm 颈内、颈外静脉、 HYPERLINK /view/3883105.htm 锁骨下静脉、股静脉等将导管放置到中心静脉如上腔静 脉(Superior vena cava，SVC)内，用于为病人提供中短期静脉输液治疗的方法。提高 治疗安全性，提高护理工作效率，同时减少医务人员的针刺伤等