经皮下隧道双腔带Cuff导管在血液透析中的应用分析

摘要

Objective To discuss the application of central venous catheter with cuff in the blood purification and prevention and treatment of catheter-related complications.Methods Clinical data of 21 patients with vein central dual-lumen catheter with cuff through jugular were retrospectively analyzed, and the complications and catheter use were analyzed.Results Tunnel bleeding complication was more often seen after the placement of central venous catheter with cuff, which can be stopped by pressure, dialysis adequacy good,main long-term complications were infection and thrombosis with the occurrence rate of 19％ and 9.9％ respectively.Conclusion For the cases with poor vessel condition when autogenous arteriovenous fistula cannot be established,or with heart dysfunction when it's not approporiate to establish fistula, central venous catheter with cuff is a safe and effective vascular access; proper use and intensive care is the key to extend the scrvice life.%目的探讨带Cuff的中心静脉置管在血液净化中的应用及其导管相关并发症的预防和处理.方法回顾性分析21例经颈内静脉留置双腔带Cuff的中心静脉导管的患者的临床资料,分析其术后并发症及导管使用情况.结果带Cuff的中心静脉置管术后并发症以隧道出血多见,经过压迫均能止血,透析充分性良好,置管的远期并发症主要为感染和血栓形成,分别达19%和9.9%.结论对于血管条件差无法建立自体动静脉内瘘或心功能不全不宜造瘘者,带Cuff的中心静脉留置导管是一种安全、有效的血管通路,正确使用和精心护理是延长导管使用寿命的关键.