论文部分内容阅读
目的:探讨经左前臂行右心导管检查的科学性。方法:本研究对所有在我科就诊的疑诊肺血管病患者行右心导管检查,首选经肘前静脉穿刺,穿刺失败改为颈内静脉。需要围手术期监测肺动脉压者直接行右侧颈内静脉穿刺。结果:110例患者经肘前静脉穿刺,穿刺置入鞘管成功者为106例(96.4%),置入鞘管成功后完成右心导管检查者为104例(94.5%);6例患者经颈内静脉穿刺,均成功置入鞘管,顺利完成右心导管检查。结论:右心导管检查操作简便,安全性高,尤其经左侧肘前静脉进行右心导管检查操作简便,并发症发生率低,术后患者痛苦小,可以作为右心导管的检查路径。
Objective: To explore the right forearm catheterization of the left forearm science. Methods: In this study, all patients with suspected pulmonary vascular disease treated in our department were examined by right heart catheterization. The first choice was pre-elbow venipuncture, and the failure of puncture was changed to the internal jugular vein. Perioperative monitoring of pulmonary artery pressure need to directly right jugular vein puncture. Results: One hundred and thirteen patients (96.4%) were successfully treated with an anorto-venous access and sheath insertion, and 104 (94.5%) were completed right-heart catheterization after successful sheath insertion. Six patients Jugular vein puncture, were successfully placed in the sheath, the successful completion of the right heart catheterization. Conclusions: Right heart catheterization is simple and safe, especially for right anternal catheterization through left anterior vein. It is easy to operate and has low complication rate and little pain after operation. It can be used as the examination path of right heart catheterization.