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目的评价床边CR胸片对ICU患者监护、治疗设备的导管、导线位置的作用。方法对162例ICU患者的387份床边胸片并结合其临床资料进行回顾性分析,观察监护治疗仪器导管的位置以及有无并发症。结果导管的位置异常47例,约为16.9%,主要为气管插管过深、中央静脉置管进入颈静脉及胸腔引流管插入太浅致引流无效。有创操作后并发症较少:机械通气后的气胸及气管插入过深所致的肺不张及吸入性肺炎11例。在进行监护设备及有创操作后评估管线情况同时发现临床未注意到的心肺疾病10例(占6.2%)。结论床边CR胸片可观察各种监护仪器、导线和导管位置以及有无并发症等,同时还可发现临床未注意到的心肺疾病。
Objective To evaluate the effect of bedside CR chest radiography on the ICU patient monitoring and treatment equipment catheter and lead position. Methods A total of 387 bedside chest radiographs of 162 ICU patients were retrospectively analyzed with the clinical data to observe the position of catheter in custody treatment device and whether there was any complication. Results 47 cases of abnormal catheter position, about 16.9%, mainly for intubation too deep, the central venous catheter into the jugular vein and chest drainage tube inserted too shallow drainage invalid. Less complications after invasive operation: pneumothorax after mechanical ventilation and intubation caused by atelectasis and aspiration pneumonia in 11 cases. Ten cases (6.2%) of cardiopulmonary diseases were not noticed clinically after monitoring equipment and invasive operation. Conclusion CR chest bedside can observe a variety of monitoring equipment, the location of the guide wire and catheter and the presence or absence of complications, but also found that the clinical did not notice the heart and lung disease.