快速建立锁骨下静脉通路572例体会与技巧  

Skills of Quick Subclavian Vein Access Establishment in 572 Critical Patients

作　　者：金先银[1] 沈蕾[2] 豆桂军[1] 何军[1] 

机构地区：[1]安徽省淮北市人民医院ICU,235000 [2]上海复旦大学附属华山医院ICU

出　　处：《岭南急诊医学杂志》2009年第1期45-46,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨快速锁骨下静脉穿刺方法与技巧。方法:回顾性分析ICU572例锁骨下静脉穿刺病人的临床资料。结果:本组患者一针穿刺成功512例(89.5%),所需时间平均8.9 min;二针穿刺成功35例,平均时间12.3 min;21例三针或以上穿刺成功,平均时间14.6 min。总平均时间为9.3 min。4例穿刺失败。总穿刺成功率99.3%。结论:只有正确的体位、准确的定位与可靠的进针方向,是提高穿刺成功的关键。推荐使用"肋锁角法"快速建立锁骨下静脉通道。Objective:To discuss the method and skills of quick subclavian vein access establishment.Methods: Review of quick subclavian vein access establishment in 572 ICU patients.Results:One pricker was achieved in 512 cases(89.5%) with the mean time of 8.9 minutes,two prickers in 35 cases with the mean time of 12.3 minutes, and more than two prickers in 21 cases with the mean time of 14.6 minutes.The mean puncture time in all patients was 9.3 minutes.The subclavian vein access was successfully established in 568 cases(99.3%)and failed in 4 cases. Conclusion:The key points to improve the success of puncture include suitable body position,accurate localization and direction.The costoclavicular-angle method of quickly establishing subclavian vein access is recommended.

关 键 词：锁骨下静脉 穿刺 肋锁角法 

分 类 号：R472[医药卫生—护理学]