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经右前臂同次行肺动脉造影及右心导管检查的可行性分析

Analysis of feasibility of same pulmonary angiography and right heart catheterization by right forearm
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摘要 目的分析经右前臂同次行肺动脉造影及右心导管检查的可行性。方法对收治的40例肺部疾病患者的临床资料进行统计分析,给予所有患者经右前臂同次行肺动脉造影及右心导管检查,然后对检查成功情况及并发症发生情况进行统计分析。结果 40例患者中,39例经右前臂静脉径路成功将鞘管置入,成功率达到97. 5%,其中37例成功完成右心导管检查,成功率达到92. 5%;在穿刺部位方面,右正中静脉13例,右贵要静脉16例,右头静脉8例,分别占35. 1%、43. 2%、21. 6%。11例需要肺动脉造影的患者均顺利完成检查,达到100%的成功率;局部出血及血肿1例,右心导管检查并发症发生率为2. 5%。结论经右前臂同次行肺动脉造影及右心导管检查具有较高的可行性。 Objective To analyze the feasibility of same pulmonary angiography and right heart catheterization by right forearm.Methods The clinical data of 40 cases of patients with lung disease were statistically analyzed,and all patients were given same pulmonary angiography and right cardiac catheterization by right forearm,and the examination success and complications were statistically analyzed. Results Among the 40 cases of patients,successfully inserted into the sheath through the forearm vein route was 39 cases,and the success rate of puncture and insertion of the sheath achieved 97. 5%,of which 37 cases were successfully completed right heart catheterization,and the success rate reached 92. 5%. Right median vein were 13 cases,right basilic vein 16 cases,right cephalic vein8 cases,accounted for 35. 1%,43. 2%,21. 6%. 11 cases of patients required pulmonary angiography successfully completed the examination,and the success rate achieved 100%;local hemorrhage and hematoma occurred only one case,and the complication rate of right heart catheterization was 2. 5%. Conclusion The feasibility of same pulmonary angiography and right heart catheterization by right forearm is high.
作者 马宣 虎迎春 纳建荣 徐清斌 MA Xuan;HU Yingchun;NA Jianrong;XU Qingbin(Respiratory and Critical Medical Department,General Hospital of Ningxia Medical University,Yinehuan 750002,China;Department of Cardiology,General Hospital of Ningxia Medical University,Yinehuan 750002,China)
出处 《宁夏医学杂志》 CAS 2018年第12期1141-1143,共3页 Ningxia Medical Journal
基金 国家级科研基金资助项目(2016YFC0901500)
关键词 经右前臂 肺动脉造影 右心导管检查 可行性 By right forearm Pulmonary artery angiography Right heart catheterization Feasibility
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