中国医学创新2016，Vol.13Issue(27)：109-112,4.DOI:10.3969/j.issn.1674-4985.2016.27.029
右颈内静脉加压对颈内静脉穿刺置管术的影响
Effect of Right Internal Jugular Vein Pressure on Internal Jugular Vein Catheterization
高恺 1张月秋 2高言国3
作者信息
- 1. 辽宁省大连市中心医院 辽宁 大连 116021
- 2. 辽宁省大连市妇产医院
- 3. 大连大学附属新华医院
- 折叠
摘要
Abstract
Objective:To discuss the effect of right internal jugular vein pressure on internal jugular vein catheterization.Method:From May 2013 to March 2016,79 cases of low blood volume or septic shock with right internal jugular vein catheterization were selected as the research objects,they were divided into 40 cases of the control group(group C) and 39 cases of the internal jugular venous pressure group(group P).All patients had to lie,Trendelenburg position and the left side of the head deflection 15°-30°,group C were treated with conventional right internal jugular vein catheterization,group P was treated with an index finger and a middle finger were put together to push jugular veins hard inward and downward on the ipsilateral supraclavicular fossa near lateral recess of joints of the sternoclavicular joint until the veins were squashed based on group C,internal jugular vein press to make flat was appropriate.Three times puncture catheter success rate,the rate of return to blood,puncture failure rate and incidence of hematoma of two groups were recorded.Result:The puncture catheter success rate,the rate of return to blood,puncture failure rate and incidence of hematoma in group P were all better than those of group C,the differences were statistically significant(P<0.05).Conclusion:Internal jugular vein compression significantly contributes to the success of internal jugular vein catheterization and reduce complications.关键词
休克/右颈内静脉加压/胸锁关节/置管术Key words
Shock/Right internal jugular vein compression/Thoracic lock joint/Tube placement surgery引用本文复制引用
高恺,张月秋,高言国..右颈内静脉加压对颈内静脉穿刺置管术的影响[J].中国医学创新,2016,13(27):109-112,4.
