四川医学Issue(7)：828-830,3.
两种穿刺入路方式中心静脉置管术在危重症抢救中的应用比较
Comparison of Two Kinds of Application of Puncture Approach Ways of Central Vein Catheterization in Critically Ill Patients
谢德东 1周莉娟 1陈力 1戴领1
作者信息
- 1. 攀枝花市中心医院急救中心，四川 攀枝花 617067
- 折叠
摘要
Abstract
Objective To compare two kinds of puncture approach ways of central vein catheterization in the critically ill rescue application, in the way of central vein to seek for optimal rescue critically ill patients. Methods A retrospective analysis from 2008 March to 2013 year in March 900 cases of critically ill patients in our center of central venous catheterization patients clinical data, which take the internal jugular vein puncture approach in 420 cases, puncture of subclavian vein approach in 480 cases, based on the two kinds of puncture approach ways of central vein catheterization occurred in quick puncture success rate and puncture related complications rate analysis. Results The success rate of puncture of internal jugular vein puncture ap-proach: 336 cases (80% ); puncture of subclavian vein approach in 456 cases (95% ); the incidence rate of puncture related complications: internal jugular vein puncture approach in 69 cases (16. 4% ), puncture of subclavian vein in 20 cases (4. 2% ). Conclusion In critically ill patients subclavian vein puncture approach ways of central vein catheterization rate is better than that of internal jugular vein puncture approach in fast puncture success rate and puncture related complications.关键词
中心静脉置管术/危重症/抢救Key words
central venous catheterization/critically ill patients/rescue分类
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谢德东,周莉娟,陈力,戴领..两种穿刺入路方式中心静脉置管术在危重症抢救中的应用比较[J].四川医学,2014,(7):828-830,3.
