[1]余志华,韩宏伟,程光辉,等.锁骨下静脉穿刺致47例气胸原因分析[J].介入放射学杂志,2017,(11):975-977.
 YU Zhihua,HAN Hongwei,CHENG Guanghui,et al.Pneumothorax related to subclavian vein puncture: analysis of the causes in 47 patients[J].journal interventional radiology,2017,(11):975-977.
点击复制

锁骨下静脉穿刺致47例气胸原因分析()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年11期
页码:
975-977
栏目:
心脏介入
出版日期:
2017-11-25

文章信息/Info

Title:
Pneumothorax related to subclavian vein puncture: analysis of the causes in 47 patients
作者:
余志华 韩宏伟 程光辉 李 振 张劲林 邓成钢 苏 晞
Author(s):
YU Zhihua HAN Hongwei CHENG Guanghui LI Zhen ZHANG Jinglin DENG Chenggang SU Xi
Department of Cardiovascular Medicine, Wuhan Municipal No.1 Hospital, Wuhan, Hubei Province 430022, China
关键词:
【关键词】 介入治疗 锁骨下静脉穿刺 气胸
文献标志码:
A
摘要:
【摘要】 目的 探讨心律失常介入治疗术中行锁骨下静脉穿刺引发气胸的危险因素。方法 回顾性分析2010年1月至2014年1月在武汉亚洲心脏病医院接受经导管射频消融术(RFCA)或起搏器植入术行锁骨下静脉穿刺的4 351例患者临床资料。分析发生气胸患者性别、年龄、是否伴发慢性阻塞性肺疾病(COPD)及锁骨形态变化等临床特征,评估是否与气胸发生相关。结果 4 351例患者中共发生气胸47例(1.08%),年龄12~72(47.1±18.4)岁;其中女性37例(78.7%),锁骨与胸骨夹角<60°者27例,伴有COPD者2例。女性气胸发生率较男性明显增加(OR=2.7,95%CI=1.4~5.2);斜形锁骨即锁骨与胸骨夹角<60°患者气胸风险明显增加(OR=3.5,95%CI=1.6~7.9),伴有COPD患者气胸概率增加(OR=2.3,95%CI=1.2~4.7)。47例中5例气胸未予特殊处理,自行吸收,19例经胸腔穿刺抽气缓解,23例经胸腔闭式引流缓解;均完全康复出院。结论 气胸仍是介入治疗中重要临床问题。女性、有斜形锁骨特征或伴发COPD患者接受锁骨下静脉穿刺时更易发生气胸。

参考文献/References:

[1] Lalu MM, Fayad A, Ahmed O, et al. Ultrasound- guided subclavian vein catheterization: a systematic review and meta- analysis[J]. Crit Care Med, 2015, 43: 1498- 1507.
[2] Kirkfeldt RE, Johansen JB, Nohr EA, et al. Pneumothorax in cardiac pacing: a population- based cohort study of 28,860 Danish patients[J]. Europace, 2012, 14: 1132- 1138.
[3] 马长生, 霍 勇, 方唯一, 等. 介入心脏病学[M]. 北京: 人民卫生出版社, 1998: 49.
[4] 吴庆宇, 刘须才, 汪永录. 非标准体位下锁骨下静脉穿刺置管术[J]. 介入放射学杂志, 2004, 13: 177- 178.
[5] 黄惠卿, 黄丽萍. 经右锁骨下静脉置入中心静脉管的护理[J]. 介入放射学杂志, 2001, 10: 377.
[6] Liu P, Zhou YF, Yang P, et al. Optimized axillary vein technique versus subclavian vein technique in cardiovascular implantable electronic device implantation: a randomized controlled study[J]. Chin Med J(Engl), 2016, 129: 2647- 2651.
[7] Peterson PN, Daugherty SL, Wang Y, et al. Gender differences in procedure- related adverse events in patients receiving implantable cardioverter- defibrillator therapy[J]. Circulation, 2009, 119: 1078- 1084.
[8] Nowak B, Misselwitz B, Erdogan A, et al. Do gender differences exist in pacemaker implantation? Results of an obligatory external quality control program[J]. Europace, 2010, 12: 210- 215.
[9] 李京波, 魏 盟, 陆志刚, 等. 锁骨下静脉穿刺与头静脉切开途径安置心脏起搏器的随机对照研究[J]. 介入放射学杂志, 2003, 12: 125- 126.

相似文献/References:

[1]陈跃光,顾 俊,胡 伟,等. 导管吸栓联合静脉溶栓成功救治奥氮平致肺栓塞一例[J].介入放射学杂志,2011,(12):938.
 CHEN Yue-guang,GU Jun,HU Wei,et al.Successful treat and cure of pulmonary embolism caused by olanzapine by using thrombus aspiration via percutaneous catheter and systemic thrombolytic therapy: report of one case[J].journal interventional radiology,2011,(11):938.
[2]蒋利,金惠根,王肖龙.三腔起搏器安装术后冠状窦电极早期脱位一例[J].介入放射学杂志,1999,(04):208.
[3]欧阳墉,张学军,欧阳雪晖. 管腔内支架研究和开发的现状及展望[J].介入放射学杂志,2013,(06):441.
 OUYANG Yong,ZHANG Xue? jun,OUYANG Xue? hui..The development of endoluminal stent: its current status and prospects[J].journal interventional radiology,2013,(11):441.
[4]廖新彬. 介入手术室巡回护士工作路径表的设计及应用[J].介入放射学杂志,2014,(01):76.
 LIAO Xin? bin.. Design and application of mobile nurses work path table in interventional operation room[J].journal interventional radiology,2014,(11):76.
[5]丁 荣,黄 明,周劲梅,等. 云南省二级医院开展介入诊疗项目的调查分析[J].介入放射学杂志,2014,(01):79.
 DING Rong,HUANG Ming,ZHOU Jin? mei,et al. Investigation and analysis of interventional procedures being carried out in the primary hospitals in Yunnan province of China[J].journal interventional radiology,2014,(11):79.
[6]赵洪伟,刘福全,岳振东,等.肝癌动脉栓塞治疗中出现的肝静脉“碘油轨道征”与术后猝死的相关性 [J].介入放射学杂志,2014,(11):950.
 ZHAO Hong wei,LIU Fu quan,YUE Zhen dong,et al.Correlation between postoperative sudden death and hepatic vein “lipiodol tram track sign” occurring in the performance of arterial embolization for liver cancer[J].journal interventional radiology,2014,(11):950.
[7]黄光明.贯穿插管法的应用现状[J].介入放射学杂志,2015,(09):835.
 HUANG Guang- ming.Clinical application of penetrating catheterization technique: its present situation in clinical practice[J].journal interventional radiology,2015,(11):835.
[8]蒋 妮,蒋 蕾,邱 燕,等.环形弹性加压带在肝癌介入治疗术后的应用及效果[J].介入放射学杂志,2016,(04):360.
 JIANG Ni,JIANG Lei,QIU Yan,et al.Application of self- made annular elastic compression belt in patients with hepatocellular carcinoma after interventional therapy and its clinical effect[J].journal interventional radiology,2016,(11):360.
[9]葛世堂,张希全,潘晓琳,等.经皮腔内介入治疗急性肱动脉损伤26例[J].介入放射学杂志,2017,(01):69.
 GE Shi- tang,ZHANG Xi- quan,PAN Xiao- lin,et al.Percutaneous endovascular treatment for acute brachial artery injury: clinical results of 26 cases[J].journal interventional radiology,2017,(11):69.
[10]朱玉峰,李长永,白 元,等.同期介入治疗重度肺动脉瓣狭窄合并超声漏诊的房间隔缺损一例[J].介入放射学杂志,2013,(12):993.
 ZHU Yu? feng,LI Chang? yong,BAI Yuan,et al. Simultaneous transcatheter therapy of severe pulmonary stenosis with ultrasonically?蛳 missed coexisting atrial septal defect: report of one case[J].journal interventional radiology,2013,(11):993.

备注/Memo

备注/Memo:
(收稿日期:2017-05-31)
(本文编辑:边 佶)
更新日期/Last Update: 2017-11-16