局解手术学杂志2018，Vol.27Issue(4)：266-269,4.DOI:10.11659/jjssx.01E018024
改良锁骨上路锁骨下静脉穿刺入路在意识障碍患者中的应用
Application of modified supra-clavicular subclavian vein puncture path in the patients with consciousness disorder
摘要
Abstract
Objective To compare the practicability, reliability and safety of three paths of central venous puncture,namely internal jugular vein,modified supra-clavicular subclavian vein and subclavian vein,for patients with consciousness disorder.Methods The clinical data of 135 patients with consciousness disorder in department of neurology were retrospectively analyzed.These patients were comprised of 40 cases of internal jugular vein puncture(group J),58 cases of modified supra-clavicular subclavian vein puncture(group GS)and 37 cases of subclavian vein puncture(group S).The one-time success rate,total success rate,puncture and catheterization time and complications were compared among the three groups.Results The one-time success rate of group GS(89.7%)was higher than that of group J(77.5%)and group S(59.5%)with significant difference(P<0.05).There was no significant difference in the total success rate between group GS (94.8%)and group J(87.5%)(P>0.05),but they were higher than that of group S(70.3%)with significant difference(P<0.05). The puncture and catheterization time in group GS was shorter than that of group J and group S with significant difference(P<0.05).The to-tal incidence of complications of group GS(5.2%)was lower than that of group J(20%)and group S(29.7%)with significant difference (P<0.05).Conclusion Compared to internal jugular vein and subclavian vein, the modified supra-clavicular subclavian vein puncture path can adapt to more body positions,improve success rate and reduce complications in patients with consciousness disorder.关键词
中心静脉穿刺术/颈内静脉/锁骨上路/锁骨下静脉Key words
central venous puncture/internal jugular vein/supra-clavicular vein/subclavian vein分类
医药卫生引用本文复制引用
刘涛,张建峰,李明强,杨婕..改良锁骨上路锁骨下静脉穿刺入路在意识障碍患者中的应用[J].局解手术学杂志,2018,27(4):266-269,4.基金项目
湖北省自然科学基金面上项目(2014CFB251) （2014CFB251）
