概括
在肺动脉 катетеризация后评估了无菌性血栓内心植被 (TEV). 与其他组相比,使用Swan-Ganz导管的患者的TEV发病率显著更高.
科学领域:
- 心血管病理学心血管病理学
- 医疗器械并发症 医疗器械并发症
- 血栓性疾病 血栓性疾病
背景情况:
- 无菌性血栓内心植被 (TEV) 是侵入性手术的潜在并发症.
- 肺动脉导管,特别是使用天-甘兹导管,在重症监护中被广泛使用.
- 对TEV的发病率和风险因素需要进一步调查.
研究的目的:
- 为了确定无菌性血栓性内心植被 (TEV) 在接受肺动脉导管治疗的患者中的发生率.
- 为了比较使用Swan-Ganz导管的患者中TEV的发病率与其他中央血管导管和没有导管的患者.
主要方法:
- 在两年内对尸检报告的回顾性审查.
- 对413次尸检的分析,以确定无菌TEV的病例.
- 根据使用的中央血管导管类型 (天,其他中央静脉或没有) 来对患者进行分类.
主要成果:
- 在413次解剖中,发现了5例无菌性TEV病例.
- 在88名带Swan-Ganz导管的患者中,TEV发生在3名患者中.
- 中心静脉导管患者 (1/120) 和没有导管的患者 (1/205) 的TEV发病率较低.
结论:
- 无菌性血栓性内心植被 (TEV) 的发生率在患有天-甘兹导管的患者中显着较高.
- -甘兹导管治疗与发展TEV的风险增加有关.
- 需要对使用天-甘茨导管的患者中TEV的预防策略进行进一步的研究.
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