中国临床医学2016，Vol.23Issue(3)：402-404,3.
超声引导与体表标志法行锁骨下／腋静脉置管的疗效对比
Comparison of the effect of ultrasonic guidance and body surface marking in subclavian or axillary vein cannulation
朱冬梅 1钟鸣 2吴威 2宋洁琼 2黄俊峰 2诸杜明 2何义舟2
作者信息
- 1. 上海市松江区泗泾医院急诊科，上海 201601
- 2. 复旦大学附属中山医院重症医学科，上海 200032
- 折叠
摘要
Abstract
Objective:To compare the efficacy of ultrasound guidance and body surface marking in subclavian or axillary vein cannulation .Methods:A retrospective analysis was performed on 228 patients with subclavian or axillary vein cannulation ,including 130 cases in ultrasound-guided group and 98 cases in body surface marking group .Chest radiography was performed to confirm the occurrence of pneumothorax and catheter malposition in all patients .Results:There was no significant difference in baseline data between the two groups .The incidence of catheter malposition in ultrasound-guided group was lower than that in the body surface marking group ,but the difference was not statistically significant (0 .9% vs 5 .1% , P=0 .09) .No pneumothorax was found in the ultrasound-guided group ,and 4 cases of pneumothorax (4% ) occurred in the body surface marking group , and the difference is statistically significant ( P= 0 .03 ) . Conclusions: The safety of the subclavian/axillary vein catheter under ultrasound guidance was higher than that of the body surface marker ,the incidence of pneumothorax and the incidence of the catheter malposition were both quite low ,and postoperative chest X-ray examination should be decided according to the patient’s symptoms .关键词
气胸/胸片/锁骨下静脉/腋静脉/置管Key words
pneumothorax/chest X-ray/subclavian vein/axillary vein/cannulation分类
医药卫生引用本文复制引用
朱冬梅,钟鸣,吴威,宋洁琼,黄俊峰,诸杜明,何义舟..超声引导与体表标志法行锁骨下／腋静脉置管的疗效对比[J].中国临床医学,2016,23(3):402-404,3.
