局解手术学杂志2017，Vol.26Issue(1)：48-51,4.DOI:10.11659/jjssx.04E016039
颈内静脉和锁骨下静脉穿刺入路的解剖学特点及临床应用
Anatomic features and clinical application of the internal jugular vein and subclavian vein puncture
张强华 1周钢 2张国艳3
作者信息
- 1. 佳木斯大学附属第一医院麻醉科，黑龙江佳木斯154002
- 2. 佳木斯大学附属第一医院心胸外科，黑龙江佳木斯154002
- 3. 佳木斯大学附属第一医院肾内科，黑龙江佳木斯154002
- 折叠
摘要
Abstract
Objective To compare the advantages and disadvantages of internal jugular vein and subclavian vein puncture approach by clinical and anatomical ways so as to explore the best way of establishing a central venous access to guide clinical work .Methods The 120 patients who were admitted into our hospital from January 2014 to January 2016 were randomly divided into the internal jugular vein group and the subclavian vein group with 60 cases in each group according to puncture approach , and the puncture were operated by the same group of physicians .The learning curve ,puncture success rate ,completion time ,complication rates and other indicators of the two groups were evalua-ted.Results The operating completion time of internal jugular vein puncture group was (22.00 ±5.58)minutes,the success rate was 52%, the learning curve was 12 cases;while the subclavian vein puncture group was (11.60 ±2.67)minutes,93% and 3 cases respectively,and the differences were statistically significant between the two groups (P<0.05).The total complication rate of the internal jugular vein punc-ture group was 58%while the subclavian vein group was 12%, and the difference was statistically significant (P<0.05).Conclusion Dif-ficulty,safety and complication rates of subclavian vein puncture approach were better than those of the internal jugular vein puncture ap -proach.Therefore, subclavian vein puncture approach should be the first choice when there’s a need to establish central venous access for rescuing severe patients such as shock .关键词
颈内静脉/锁骨下静脉/中心静脉穿刺/学习曲线/并发症Key words
internal jugular vein/subclavian vein/central venous puncture/learning curve/complication分类
医药卫生引用本文复制引用
张强华,周钢,张国艳..颈内静脉和锁骨下静脉穿刺入路的解剖学特点及临床应用[J].局解手术学杂志,2017,26(1):48-51,4.
