局解手术学杂志Issue(6)：610-611,612,3.DOI:10.11659/jjssx.1672-5042.201406014
锁骨下静脉穿刺置管术600例临床观察及解剖学基础
Clinical observation and anatomical basis study on subclavian vein catheterization in 600 cases
王永恒 1徐小宁 1凌丰军 1张端孟 1黄冬玲 1王岩峰 1周洋 1王秀丽1
作者信息
- 1. 淅川县第二人民医院外一科，河南 南阳474450
- 折叠
摘要
Abstract
Objective To study the local anatomic structure of subclavian vein and have a good command of operating methods and skills on subclavian vein catheterization (SVC) so as to improve the success rate of puncture. Methods Retrospectively analyze the clinical data of 600 cases of hospitalized patients who have had SVC (male 410, female 190) in our hospital from March 2010 to March 2014. Results There were 582 cases (97%) of successful puncture,including 546 cases (91%) of one-time puncture success,38 cases (6. 3%) of repeated puncture or other types of puncture,and 16 cases (2. 7%) of failed puncture. Postoperative complications occurred in 22 patients (3. 7%),including 8 cases (1. 3%) of strayed into the artery,3 cases (0. 5%) of pneumothorax,5 cases (0. 8%) of catheter tip into the internal jugular vein,2 cases (0. 3%) of catheter related infection,2 cases (0. 3%) of catheter blockage,and 2 cases (0. 3%) of arrhythmia. Conclusion SVC is easy,safe and reliable,and it is of high success rate and less complications. Catheter retention time of SVC is longer. From the above,SVC is a good central venous puncture method which is worth of popularizing in clinical use.关键词
锁骨下静脉/穿刺置管术/临床观察/解剖学基础Key words
subclavian vein/catheterization/clinical observation/anatomic basis分类
医药卫生引用本文复制引用
王永恒,徐小宁,凌丰军,张端孟,黄冬玲,王岩峰,周洋,王秀丽..锁骨下静脉穿刺置管术600例临床观察及解剖学基础[J].局解手术学杂志,2014,(6):610-611,612,3.
