中心静脉导管并发症在中毒急诊中心:一个5年的横截面研究
Amirmohammad Bavandipour1, Masumeh Safaee2, Mohammad Javad Tarrahi3
1Department of Clinical Toxicology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Advanced biomedical research
|October 16, 2024
概括
中心静脉导管 (CVC) 的并发症发生在13.75%的急性中毒患者中. 虽然大腿静脉进入最常见,但内静脉CVC显示出更高的并发症率,包括感染和肺胸部.
科学领域:
- 紧急医疗 紧急医疗
- 毒理学 毒理学 毒理学
- 血管接入 血管接入
背景情况:
- 中枢静脉导管 (CVC) 在紧急护理中是必不可少的,但会带来风险.
- 关于中毒紧急情况中CVC并发症的文献有限.
- 这项研究针对急性中毒患者中CVC并发症的频率.
研究的目的:
- 为了确定急性中毒患者中CVC并发症的频率.
- 为了比较这个群体中不同CVC插入点的并发症率.
主要方法:
- 横截面研究设计. 截面研究设计.
- 对2014-2019年医疗记录的回顾性审查.
- 包括需要安置CVC的急性中毒患者.
主要成果:
- 在33137名入院患者中,有400人接受了CVC (1.20%).
- 整体CVC并发症发生率为13.75%.
- 内 (IJ) 静脉CVC的并发症率较高 (20.7%) 与大腿静脉相比 (51%的病例). 肠道接近与感染和肺部胸部有关;关节下与动脉穿刺.
结论:
- 在急性中毒患者中,CVC安置不常见.
- 尽管常见的股骨静脉使用,但IJ静脉方法与该队列中心血管复杂症的增加有关.
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