桡动脉穿刺前手部血液供应的评估方法

杨晓亚; 崔朝勃; 王金荣

doi:10.13201/j.issn.1009-5918.2020.06.019

桡动脉穿刺前手部血液供应的评估方法

- 哈励逊国际和平医院重症医学科(河北衡水, 053000)

详细信息

通讯作者: 崔朝勃,E-mail:zhaobocui2014@sina.com

中图分类号: R614

收稿日期: 2020-04-09

Evaluation method of blood supply to hand before radial artery puncture

More Information

Corresponding author: , E-mail: zhaobocui2014@sina.com

Received Date: 09 April 2020

摘要

- 重症监护病房 /
- 手部血液供应 /
- 有创血压 /
- Allen试验 /
- 彩色多普勒超声
Abstract: The patients in intensive care unit(ICU) are in serious condition and often need hemodynamic monitoring, invasive blood pressure monitoring is one of the common monitoring methods. The radial artery is the first choice since it is superficial and easily accessible. If the puncture results in thrombosis or vascular occlusion in the radial artery, and the radial and ulnar arteries anastomose poorly, it will lead to the complications such as ischemia and gangrene at the finger end of the puncture hand, and result in serious adverse consequences. Therefore, before the puncture, it is necessary to routinely evaluate the anastomosis between the radial artery and the ulnar artery, evaluate the patient's hand blood supply, and choose the puncture blood vessel, reasonably to avoid the occurrence of the above-mentioned adverse events. The most commonly used methods are the Allen test and the modified Allen test in clinical work. For patients with serious illness such as confusion, edema, and anemia, color Doppler ultrasound combined with the Allen test can more accurately determine the hand blood of patients. It is worth promoting in clinical work.
- intensive care unit /
- hand blood supply /
- invasive blood pressure /
- Allen test /
- color doppler ultrasound

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参考文献(31)

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