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  • west china medical publishers
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    find Keyword "尖端定位" 2 results
    • 腔內心電圖引導下經外周靜脈置入中心靜脈導管尖端定位的應用效果觀察

      目的探討腔內心電圖(EKG)引導下經外周靜脈置入中心靜脈導管(PICC)尖端定位方法在臨床的應用效果。 方法2014 年1 月- 9 月將260 例PICC 置管的肺癌患者隨機分為觀察組和對照組,每組各130 例。觀察組患者應用EKG 即時定位技術引導導管尖端定位,對照組應用體表定位方法定位,兩組患者均在置管后行胸部X 線檢查,比較兩組導管到位率。 結果觀察組導管尖端到位率為98.46%,對照組為89.23%,兩組比較差異有統計學意義(P < 0.05)。 結論腔內心電圖引導下行PICC 置管尖端定位法能提高導管尖端到位率。

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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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  • 松坂南