Clinical significance of central venous catheterization before blood dialytic therapy in 117 cases

Objective To explore the significance of application of central venous catheterization in blood dialytic therapy and measures for prevention of complications.Methods The clinical data of 43 cases with internal jugular vein catheterization and 74 cases with femoral vein catheterization for hemodialysis required central venous catheter in this hospital during August 2008 to July 2010 were retrospectively reviewed and analyzed.Results The indwelling duration was 3～115 days.The complications of catheterization including oozing or hematoma in 5(4.27%) cases,catheter related infection in 10(8.55%) cases,obstruction of catheter in 8(6.84%) cases,inadequate blood flow in 39(3.77%) cases,and detachment of catheter in 2(1.71%) of cases.The blood flow and effect of hemodialysis could be satisfied with these two ways of catheterization.Conclusion Central venous catheterization is the ideal choice for setting up temporary blood access.It is simple with less complications,and it can also provide a stable blood flow for the requirement of hemodialysis.