血管内穿刺性损伤的经验总结及文献复习

何炳灵; 熊家申; 马攀; 宋巧玲; 张鹏; 周健; 王耀丽; 肖洪

doi:10.13201/j.issn.1009-5918.2021.07.009

血管内穿刺性损伤的经验总结及文献复习

- 1. 陆军军医大学大坪医院战创伤医学中心创伤\烧伤与复合伤国家重点实验室(重庆, 400042);
- 2. 重庆市石柱土家族自治县人民医院急诊科
基金项目:
2020年重庆市临床重点专科建设项目

详细信息

通讯作者: 肖洪,E-mail:410343509@qq.com

中图分类号: R619

收稿日期: 2021-03-31

Experience summary and literatures review of intravascular puncture injury

- 1. Wound Trauma Medical Center, State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital, Army Medical University, Chongqing, 400042, China;
- 2. Emergency Section, People's Hospital of Chongqing Shizhu Tujia Autonomous County

More Information

Corresponding author: XIAO Hong, E-mail: 410343509@qq.com

Received Date: 31 March 2021

摘要

摘要: 目的:分析3例危重症患者不同部位血管内穿刺性损伤的并发症,通过文献复习探讨并发症防治策略。方法:选择2019年11月—2021年2月我科收治3例严重血管内穿刺性损伤患者,分别记录性别、年龄、导管类型、穿刺部位、并发症发生情况。结合文献复习分析穿刺失败原因及补救措施。结果:血管内穿刺是一种有创操作,规范的操作过程及利用床旁超声、影像,充分定位评估是提高穿刺成功率及预防相关并发症的必要条件。结论:当血管内穿刺性损伤发生时应及时行CT、超声评估异位情况,多学科联合救治提高患者救治成功率、降低并发症危害。
- 血管内穿刺 /
- 损伤 /
- 并发症
Abstract: Objective: The complications of intravascular puncture injuries in different parts of 3 critically ill patients were analyzed, and the prevention and treatment strategies of complications were explored through literature study.Methods: From November 2019 to February 2021, 3 patients with severe intravascular puncture injuries were selected in our department, and the gender, age, catheter type, puncture site, and complications were recorded respectively. Analyze the causes of puncture failure and remedial measures combined with literature review.Results: Intravascular puncture is an invasive operation. Standardized operation procedures, bedside ultrasound, imaging, and adequate positioning and evaluation are necessary conditions to improve the success rate of puncture and prevent related complications.Conclusion: When intravascular puncture injury occurs, CT and ultrasound should be performed to assess the ectopic situation in time, and multidisciplinary joint treatment can improve the success rate of patients and reduces the risk of complications.
- intravascular puncture /
- injure /
- complications

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