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find Keyword "尖端定位" 2 results
  • 腔内心电图引导下经外周静脉置入中心静脉导管尖端定位的应用效果观察

    目的探讨腔内心电图(EKG)引导下经外周静脉置入中心静脉导管(PICC)尖端定位方法在临床的应用效果。 方法2014 年1 月- 9 月将260 例PICC 置管的肺癌患者随机分为观察组和对照组,每组各130 例。观察组患者应用EKG 即时定位技术引导导管尖端定位,对照组应用体表定位方法定位,两组患者均在置管后行胸部X 线检查,比较两组导管到位率。 结果观察组导管尖端到位率为98.46%,对照组为89.23%,两组比较差异有统计学意义(P < 0.05)。 结论腔内心电图引导下行PICC 置管尖端定位法能提高导管尖端到位率。

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  • Effect Evaluation of Blinding Manipulation of Peripherally-inserted Central Catheter by Using the Carina as Evaluation Mark

    ObjectiveTo evaluate tip location of peripherally inserted central catheter (PICC) by using the carina as evaluation mark, so as to provide clinical references for blinding manipulation of PICC. MethodsA retrospective analysis about the effects of tip location of PICC by using the carina as evaluation mark on inpatients with malignant tumour was conducted in tumour centre of the West China Hospital from March 2013 to April 2014. Chest X radiography was applied to evaluate the tip location of PICC. Statistical analysis was performed using SPSS software (version 19.0) and the outcomes were presented by frequency and percentage. ResultsA total of 612 cases of blinding manipulation of PICC were evaluated, of which, 502 (82%) were located in the central venous and 110 (18%) were located in the noncentral venous. The numbers of those with the catheter tips located in the non-central venous were 38 in the right atrium, 33 in the internal jugular vein, 24 in the innominate vein, 8 in the axillary vein, and 7 in the subclavian vein, respectively. ConclusionThe effects of blinding manipulation of peripherally-inserted central catheter by using the carina as evaluation mark are relatively good. But it still needs to be improved.

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