[doc格式] 右颈内静脉双腔血透管置管困难因素分析及超声引导置管的评价

[doc格式] 右颈内静脉双腔血透管置管困难因素分析及超声引导置管的评价 右颈内静脉双腔血透管置管困难因素分析 及超声引导置管的评价 ,??x???,???w?u (?????,?????(???[?j????????,????????,225300) x?x????v??:??????????;?k???7??;?????????;;???U?????F;?????%?? x?x??E???0????:R69215x?x????v?)???,:Ax?x??????S??:1672Ο2353(2 008)08Ο0083Ο01 x?x??i???????h???t?k???i??,?U?M?t????x,???t ?????????k???7??????,?????????;?????????? ???F?h?????T???-?????? [1Ο4] x(???3?i???????? ??x,?0???j???????????u?????????????r,?????? ???%???6???U????,?I??????????,???n?c,???? ????x,????x,?????;??,?8??????x( 1x??????1???? ?;???Z??1997??2007???M?t????x,???t???? ?????k???7?????3???????????;?????????????? ??540???ax(?????u20?????3?????????;???? ????,???E?B?t8??,???t12??;?????????????U ???t????10??,???c?????j?t????3??,?i???t ?????c2??,?i???????????????:??1??,???q?? ??????????3??,???t????????1??x( ?????%?????U????:?-???s???h?R?l???E?? ???????U????,?????U???-?E????????????,???? ????30??45??,???S?????J?Rx(???????????;1 ?A?j?:??1?A???????????8x( ?????????????)??:?;???????;?????????T ??????,?????????A???U?????????????3???A?? ?8??,?3?????????????;,?????????;?????k?A ??,???k?????????????1?;?G?t?j????????x( 2x????? 540?????????????;???????????????k???7 ???????????3?E,?????u20??????????,???u?? 3.7%,???????v????5%x( ????????????:?????i?y??????????,?????? ???(?????????????(?T?????U?j,?3?????????; ?1???;?8???(?T,???????;?1???S???;?????(?T, ???????;???-?7?0?F,????????????x,????,???? ???,???????;???-???????R???i?B?t,???????k ???-???????????(?T??,?h???????????????x?? ?,???????;???)??;???c???3???????;???A???? ?S???????????;????x,?k?????????8;???????;?k ?]???8;???;???G?K?k??;???-???y,???;????,?? ?;??????,?????????????;,?G?-?????;????x( ???????????U???-?T?????-Selding?????? ???????y?M?1,?-?????????%?????U?618???Z2 ?a?????8??,2???Z3?a???U?????8??x( 3x????? ???????;?????F?k???7?????3?????h???t?k ???i?????T?-??????x(???????????;?????U?? ?;,?????c????????,?h???T?-Selding???????? ???????J?%???6????x(???????j???????????? ??,???,???????;???U?)??,???Z????????x,???? ?,?????????l?E???[?1?6??x,?E?????????,???? ???;???????[?6???[?9?????h???[??x,?1?????? ???,???????1?l?Ex,?6?;?0?????????[???6???? ?U????,???E?E?????U?h?????T?- [1] x(???y???? ?,???????;???-???????R???i?B?t,???????3?? ??????????x,??????????,?h?????U?????????x?1 ?I?????,???????;??,?9???????U?????y?Mx(?- ?E??????,???k?U????????????,?c???????????? ?S???????y???t,???????c?????j???;x,???????? ???S?????????u,???O?F?????J???3???]???u,?? ?a?8????????,???????A???Ux(?;???3???U???? ?t???;??????3?a???U?H?8?????G?????????;, ???i?a???U?U???????????i?r?8???;?????S???t ?k??,?k???????s??[5] x(?Z??540???????????k ???7?????3,?????3???U?j???j?:?S???j???j?:, (?6???Z87??) ?L?q???u3 ???3???????g??,?B,??????????,???j???j?:x( 2008???Z12???Z8?u ???-?h???j???K?? JournalofClinicalMedicineinPractice??83?? ?? :2008-09-2 : ,?i???????- ?9?????????A???B???x?????6,???T?????????? ?S????,???6?????7?1???????A?9,?????????? ??;???3???????A,?????A?:?????2???x?????? ??x(?????????????A?????????c???????1?????? ?????u???;???)????,?c???-???S???l?U?????? ?????????????????c???3?E,?????????????u?? ??????90%,???????u???3?????????????????? ?????????????????x?????]??,?????????????? ?A?????????c???3?-????x,??????,???????????? ?????????????????? [4] x( ???????t?????c???????????j?r?????F?)?? ????,???B???????L?k?????????????c?u??,???? ???m?k?????k??????,?-???F?1???S????/?S?I ??;?9?????????c?????????????1???????1,???Z ?A?????F?)??,???F???(?-???????A?1???????? ????,?S?????Z??????????????????,???F?????1 ???????S???????A?????????3?j???u??????[3] x( ?S?????????;???????????A?????????c?????0?? ?????????????h???0?ux(?0?u?U???u?????S???l ?U???????????????????????c???????????????? ?????????????7??????,???5?????????E???u?S ???????????A?????????c?T?-???S???????U CHOP????,??2??3???U1?H???6,???Z?S??6 ??8?H???6x( ???2???v [1]x?ZuccaE,CavalliF.Extranodallymphomas[J].AnnOncol, 2000,11(3):219. [2]x??r????,??x???.?k???????????????)??[M].?Z?;??.?e ??:?????????I,2007:8. [3]x???????,?fx???.??????[M].?Z6??.?e??:???[???u?? ???I,2004:619. [4]x???????,?????1,?rx???,??.???E??4?H?A?9?x?U?????? ???????5?H???i???????e?0???.??[J].?Z?;???j?t???? ??,2008,30(1):1049. (?R???Z83??) ?-?k?????S?E??????2?????R,?????????k???k ??x,???c?????;x,?.?????M????????,?????????1 ???k?????,???????;?????????)???F???U?8???? ???v [6Ο7] x( ?????????;?????k?7???????????3,?????i ?y??????????,?]???k?????????????(?T?????? ????x(?Z??20??????????2?????????;?1???; ?8???(?T,3?????????;?1???S???;?????(?T,2 ?????????;???-?7?0?F,3??????????????x,?? ??,?????????????x???,???????;???9???????; ?%?????t?k??,4?????c???3???????;???A???? ?S???????;????x,?k?????????8,2?????????;?k ?]???8,1?????;???G?K?k??,2?????-???y,?? ?;????,???;??????,1???????????;,?G?-???? ?;????x( ?????i?y??????????,???[?????U?????? ?t [8] x(?Z???A???-??????,?????0???U???-???s ???h?R?l???E??????,?????U???-?E?????????? ??,????????30??45??,???S?????J?Rx(?????%?? ???????U???????3?1?????3?????:?????6?????K ????,?????3???????????U???-?E????????????, ???????3?????6???????%?????U???????[?????? ????,???????U???-???????;??,?9?A???????c?? ??????x( ???2???v [1]x?LinBs,HuangTP,TangGJ,etal.UtrasoundΟguidedcamu2 lationoftheinternaljugularveinfordialysisvascularaccessin urenicpatients[J].Nephron,1998,78(4):423. [2]x???x???,??????,??????.?h???t?k???i???-?k?????S?E ?????-[J].?????j????????,2007,32(4):457. [3]x???x???.?P???P???????;?????????????-?k???7???E???? ?-[J].?????j????????,2007,32(4):485. [4]x??l??x?,?]x???,??????,??.183???M???????3?k?????S ?k???i?????;??[J].?s?p?j????????,2006,31(4):369. [5]x??f???u.???-???????F[M].?R??:?R?????????F?????I, 2001:135. [6]x?SlamaM,NwaraA,SafavianA,etal.Improvmentinternal jugularveinCanmulationusingultrasound-guidedtechnique [J].intersivecaremed,1997,23(8):916. [7]x?MarkSS,DavidBK,DavidLi.Ananteromedialinteral jugularveinsucessfullycannulatedusingtheassistanceoful2 trasonography[J].JounalofclinicalAnesthesia,2000,12: 83. []x????????????%???6?????????;???U?????F3?????i[] ?h?????????K??,,()63 ??78???Z8?u??x???:?????????????U?????????????A?????????c3???????0?? ?? 8.0J. 200117:40.