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369例经锁骨上穿刺中心静脉置管的操作体会
http://www.100md.com 2010年11月25日 《按摩与康复医学》 2010年第33期
     摘要:目的:为了克服经锁骨上中心静脉置管(CVC)的难度并提高成功率。方法:369例经锁骨上穿刺中心静脉置管成年患者,去枕仰卧,穿刺点选择在胸锁乳突肌锁骨头与锁骨夹角的平分线上,距离夹角顶部约1.5cm,针头指向胸锁关节下缘,穿刺时穿刺针与水平面呈30度带负压刺入,约2.5~4cm即能进入锁骨下静脉,把导管导丝沿穿刺针插入中心静脉,插入时需无明显阻力。结果:一次穿刺成功365例,成功率(98.92%)。结论:经锁骨上穿刺中心静脉置管术,操作简单易行,成功率高,并发症少。

    关键词:经锁骨上 锁骨下静脉 穿刺术

    369 examples the puncture center vein set at tube operation experienceafter the collar bone on

    Sun Guomei

    Abstract:Objective:In order to overcome after the collar bone on the central vein sets manages (CVC) the difficulty and enhances the success ratio.Methods:369 examples the puncture center vein set at the tube grown-up patient after the collar bone on,goes to the pillow to lie supine,the point of puncture choice locks the mastoid process myo- lock bone and in the collar bone included angle bisector in the chest,is away from included angle crown approximately 1.5cm,the needle direction articulatio sternoclavicularis lower limb,when the puncture the puncture needle and the level deliver in person 30 degree belt negative pressure to prick,2.5~4cm namely can enter the subclavian vein approximately,leads the drive pipe the silk along the puncture needle insertion center vein,when the insertion must the not obvious resistance.Results:Puncture succeeds 365 examples,the success ratio (98.92%).Conclusion:The puncture center vein sets at the tube technique after the collar bone on,operates easy and feasible,the success ratio is high,complication few. ......

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