改良锁骨下静脉置管的临床应用及感染预防  

Clinical applying and infection prevention in modified subclavian vein intubation

作　　者：郑立[1] 李义贤[1] 林志强[1] 侯春燕[1] 程一霓[1] 

机构地区：[1]汕头大学医学院肿瘤医院,广东汕头515031

出　　处：《中国现代医学杂志》2006年第9期1384-1385,1390,共3页China Journal of Modern Medicine

基　　金：2005年汕头市重点科技计划项目(汕府科[2005]116号)

摘　　要：目的探讨改良锁骨下静脉穿刺置管(IMSV)的临床应用价值及其感染预防措施。方法600例手术病人,采用改良锁骨下静脉穿刺置管。结果改良锁骨下静脉穿刺置管成功率为98.2%。并发症:无出现导管相关性感染,无气胸、血胸、臂丛神经损伤;误穿锁骨下动脉5例,经局部压迫未造成血肿。结论改良锁骨下静脉穿刺置管法,操作容易,成功率高,并发症少,在预防中心静脉导管相关性感染中有一定作用,可为中心静脉穿刺提供一条新途径。[Objective] To evaluate the clinical applying value and infection prevention measures of intubation by modified subclavian vein puncture （IMSV）. [Method] 600 cases of patients in perioperative period were selected IMSV. [Result] IMSV was successful in 98.2% of the patients. The only complication was wrongly stabbing of subclavian artery in 5 cases, which did not cause hematoma after local compression. There were no catheter-related infection （CRI）, no pneumothorax, hemothorax or brachial nerve injury. [Conclusion] IMSV is easy to do, highly successful and has less complication. It is beneficial to prevention of CRI and offers a feasible new method for central vein puncture.

关 键 词：改良 锁骨下静脉置管 感染 预防 

分 类 号：R472.9[医药卫生—护理学] R619.3[医药卫生—临床医学]