Article(id=1207416366433407305, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1207416365246419268, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.2022.09.0922, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1632672000000, receivedDateStr=2021-09-27, revisedDate=null, revisedDateStr=null, acceptedDate=1647446400000, acceptedDateStr=2022-03-17, onlineDate=1765800094468, onlineDateStr=2025-12-15, pubDate=1664294400000, pubDateStr=2022-09-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1765800094468, onlineIssueDateStr=2025-12-15, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1765800094468, creator=13701087609, updateTime=1765800094468, updator=13701087609, issue=Issue{id=1207416365246419268, tenantId=1146029695717560320, journalId=1189873630562394117, year='2022', volume='47', issue='9', pageStart='851', pageEnd='956', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1765800094186, creator=13701087609, updateTime=1765800167087, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1207416671069904914, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1207416365246419268, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1207416671069904915, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1207416365246419268, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=922, endPage=925, ext={EN=ArticleExt(id=1207416366710231376, articleId=1207416366433407305, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Application value of ultrasound imaging by rapid saline infusion in the confirmation of the central venous catheter placement, columnId=1190310109000602400, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Clinical Research, runingTitle=null, highlight=null, articleAbstract=

Objective To explore the feasibility of rapid saline infusion ultrasound imaging for the assessment of the central venous catheter tip location. Methods A total of 83 critically ill adult patients with indications for central venous catheterization who were admitted to Peking University People's Hospital from July 2020 to July 2021 were selected. Cardiac ultrasonography was used to observe the turbulent flow imaging formed after rapid injection of normal saline into the central venous catheter to quickly determine the exact position of the catheter tip, and compared with the results of bedside chest X-ray to evaluate the method of rapid injection of normal saline effectiveness. Results The results of judging the position of the tip of the central venous catheter by the rapid perfusion ultrasound imaging of normal saline and bedside chest X-ray were basically consistent (Kappa=0.917, P<0.05). The rapid saline infusion ultrasound imaging had a sensitivity of 100.0%(95%CI 94.0%-100%)and specificity of 85.7%(95%CI 42.0%-99.2%). It took 77.5 (69.5, 85.5) minutes to determine the catheter position by chest X-ray, which was significantly longer than that of normal saline perfusion ultrasound imaging [6.4 (5.8, 6.9) minutes], and the difference was statistically significant (P<0.05). Conclusion The rapid saline infusion ultrasound imaging can effectively determine the tip position of the central venous catheter and the diagnosis time is shorter than that of the bedside chest X-ray examination.

, correspAuthors=You-Zhong An, authorNote=null, correspAuthorsNote=, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Peng Shen, Lian-Ze Zhao, Hui-Ying Zhao, Jie Lv, You-Zhong An), CN=ArticleExt(id=1207416367188382041, articleId=1207416366433407305, tenantId=1146029695717560320, journalId=1189873630562394117, language=CN, title=生理盐水快速灌注超声显像技术在中心静脉导管尖端位置评估中的应用, columnId=1190310109164180259, journalTitle=解放军医学杂志, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=

目的 探讨采用生理盐水快速灌注超声显像技术迅速评估中心静脉导管尖端位置的可行性。方法 纳入2020年7月－2021年7月北京大学人民医院收治的具有中心静脉置管指征的急危重症成人患者83例，通过超声检查观察中心静脉导管内快速推注生理盐水后形成的湍流显像以迅速判断导管尖端的确切位置，并与床旁胸部X线检查结果进行对比，评估生理盐水快速灌注超声显像检查方法的有效性。结果 生理盐水快速灌注超声显像与床旁胸部X线检查判断中心静脉导管尖端位置的结果基本一致(Kappa=0.917，P<0.05)。应用生理盐水灌注超声显像判断导管尖端位置的敏感度为100.0%(95%CI 94.0%~100.0%)，特异度为85.7%(95%CI 42.0%~99.2%)。采用胸部X线检查判断导管尖端位置耗时77.5(69.5，85.5) min，明显长于生理盐水灌注超声显像的耗时[6.4(5.8，6.9) min]，差异有统计学意义(P<0.05)。结论 应用生理盐水快速灌注超声显像技术可有效判断中心静脉导管尖端的位置，且耗时较床旁胸部X线检查短。

, correspAuthors=安友仲, authorNote=null, correspAuthorsNote=, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=4Z26zalLKUFVHcC8x6tEsw==, magXml=5pOByn7Q5pZ4MqYxOgIMRQ==, pdfUrl=null, pdf=MAXh4WcivCFDaTNOU3Dfog==, pdfFileSize=837837, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=k7wPFGpeg3ogKhRdeG0sGg==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=Tl+YGLFmB2sq0/P99md2Nw==, mapNumber=null, authorCompany=null, fund=null, authors=, authorsList=沈鹏, 赵连泽, 赵慧颖, 吕杰, 安友仲)}, authors=[Author(id=1207416367620395367, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1207416367716864361, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, authorId=1207416367620395367, language=EN, stringName=Peng Shen, firstName=Peng, middleName=null, lastName=Shen, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=¹, address=¹Department of Critical Care Medicine, Peking University People′s Hospital, Beijing 100044, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1207416367788167533, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, authorId=1207416367620395367, language=CN, stringName=沈鹏, firstName=鹏, middleName=null, lastName=沈, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=¹, address=¹北京大学人民医院重症医学科，北京 100044, bio={"content":"

沈鹏，医学硕士，主治医师，主要从事危重症患者血流动力学监测及超声检查方面的临床研究

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沈鹏，医学硕士，主治医师，主要从事危重症患者血流动力学监测及超声检查方面的临床研究

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Emerg (Tehran), 2017, 5(1): e75., articleTitle=Saline flush versus chest X ray in confirmation of central venous catheter placement; a diagnostic accuracy study, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1207416367381320029, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, xref=1, ext=[AuthorCompanyExt(id=1207416367393902942, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, companyId=1207416367381320029, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=¹Department of Critical Care Medicine, Peking University People′s Hospital, Beijing 100044, China), AuthorCompanyExt(id=1207416367398097247, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, companyId=1207416367381320029, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=¹北京大学人民医院重症医学科，北京 100044)]), AuthorCompany(id=1207416367473594723, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, xref=2, ext=[AuthorCompanyExt(id=1207416367477789028, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, companyId=1207416367473594723, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=²Department of Emergency Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China), AuthorCompanyExt(id=1207416367486177637, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, companyId=1207416367473594723, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=²上海中医药大学附属曙光医院创伤急救科，上海 201203)])], figs=[ArticleFig(id=1207416370954867170, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, language=EN, label=Fig. 1, caption=Ultrasound imaging of the heart on the apical four-chamber view, figureFileSmall=VTr5kgb8N790dKK53zaKMA==, figureFileBig=k7wPFGpeg3ogKhRdeG0sGg==, tableContent=null), ArticleFig(id=1207416371059724776, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, language=CN, label=图1, caption=心尖四腔心切面心脏超声影像

LA. 左心房；LV. 左心室；RA. 右心房；RV. 右心室；A. 未灌注生理盐水时；B. 快速注入生理盐水后；黑色箭头示灌注的生理盐水进入右心房时形成的湍流信号；白色箭头示灌注的生理盐水进入右心室时形成的湍流信号

, figureFileSmall=VTr5kgb8N790dKK53zaKMA==, figureFileBig=k7wPFGpeg3ogKhRdeG0sGg==, tableContent=null), ArticleFig(id=1207416371315577329, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, language=EN, label=Tab. 1, caption=

Comparison of ultrasound imaging of saline perfusion and bedside chest radiograph in judging the position of catheter tip (n)

, figureFileSmall=null, figureFileBig=null, tableContent=

生理盐水灌注超声显像	床旁胸部X线检查
	上腔静脉	右心房	锁骨下静脉	颈内静脉
上腔静脉	76	1	0	0
右心房	0	4	0	0
锁骨下静脉	0	0	0	0
颈内静脉	0	0	0	2

), ArticleFig(id=1207416371428823542, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1207416366433407305, language=CN, label=表1, caption=

生理盐水灌注超声显像与床旁胸部X线检查判断导管尖端位置的结果比较(例)

, figureFileSmall=null, figureFileBig=null, tableContent=

生理盐水灌注超声显像	床旁胸部X线检查
	上腔静脉	右心房	锁骨下静脉	颈内静脉
上腔静脉	76	1	0	0
右心房	0	4	0	0
锁骨下静脉	0	0	0	0
颈内静脉	0	0	0	2

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