本文選題：彩色多普勒超聲　切入點：中心靜脈置管　出處：《重慶醫(yī)科大學》2017年碩士論文

【摘要】：目的探討無癥狀患者中心靜脈置管(central venous catheter,CVC)拔管彩超篩查靜脈血栓的臨床意義。方法回顧性分析2014年7月至2016年6月我科會診的無臨床癥狀CVC相關靜脈血栓形成患者超聲所示血栓情況,處理方式及后續(xù)隨訪結果。結果納入306例患者,超聲提示血栓大小(7.5~22)mm×(2.3~4)mm,平均(4.9±2.31)mm×(13±0.97)mm,所有患者按原計劃拔出導管,未發(fā)生肺栓塞相關臨床癥狀事件,未單純因超聲提示血栓接受額外抗凝治療,隨訪過程中大多數患者未再見血栓。結論通過超聲篩查發(fā)現(xiàn)的無癥狀患者中心靜脈置管附壁血栓,致癥狀性肺栓塞風險低危,無需特殊處理,因此拔管前置管處彩超檢查臨床價值不大。
[Abstract]:Objective to investigate the clinical significance of color Doppler ultrasonography in the screening of venous thrombosis in asymptomatic patients with central venous catheterization catheterization. Methods from July 2014 to June 2016, we retrospectively analyzed the clinical symptoms of venous thrombosis associated with CVC. Of the thrombus as shown by ultrasound, Results in 306 patients, the size of thrombus was 7.52mm 脳 2.3mm 脳 2.3mm, with an average of 4.9 鹵2.31)mm 脳 13 鹵0.97mm. All the patients pulled out the catheter according to the original plan, and there were no clinical symptoms associated with pulmonary embolism. Most of the patients were not treated with extra anticoagulant therapy because of ultrasound alone. Conclusion the risk of symptomatic pulmonary embolism is low in asymptomatic patients with central venous catheterization and wall thrombosis found by ultrasound screening. There is no need for special treatment, so the clinical value of color Doppler ultrasound examination is not significant.
【學位授予單位】：重慶醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R445.1;R543.6

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相關期刊論文 前2條

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本文編號：1659436