Ambesh操作法在锁骨下静脉置管中的应用研究  

作　　者：罗辉遇[1] 谢长江[1] 刘卫江[1] 温德良[1] 张振辉[1] 许阳英[2] 熊旭明[1] 

机构地区：[1]广州医学院第二附属医院危重病学科,510260 [2]广州医学院第二附属医院麻醉科,510260

出　　处：《当代医学》2009年第2期47-48,共2页Contemporary Medicine

摘　　要：目的研究颈内静脉阻塞法(Ambesh操作法)在锁骨下静脉置管过程中,防止导管误入同侧颈内静脉的价值。方法采用Ambesh操作法对63例患者实施锁骨下静脉置管,与常规操作组80例及Ambesh研究组97例病例作比较,研究导管误入同侧颈内静脉的情况。结果实验组导管误入同侧颈内静脉的发生率为4.8%,常规组为16.3%,Ambesh研究组为0。实验组明显低于常规组(P=0.04)而与Ambesh研究组无显著性差异(P=0.059)。结论Ambesh操作法可有效减少锁骨下静脉置管过程中导管误入同侧颈内静脉的机会。Objective To evaluate the manual occlusion of the internal jugular vein （Ambesh maneuver） during subclavian vein catheterization （SVC） for preventing misplacement of the catheters into ipsilateral internal jugular vein（IJV）. Methods A study was made based on 63 patients undergone SVC through Ambesh maneuver, 80 patients in routine control group and 97 patients in Ambesh study group, which the incidence of misplacement of the catheters into the LJV had been accounted respectively compared. Results The rate of the incidence of misplacement of the catheters into the LJV was 4,8%, 16.3% and 0 in the study group, control group and Ambesh study group respectively. And it was lower in the study group than in the control group （P=0.04）, while there had no difference between the study group and Ambesh study group （P=0.059）. Conclusion Ambesh maneuver can reduce the incidence of misplacement of the catheters into the LJV during SVC.

关 键 词：锁骨下静脉 颈内静脉 导管插入术 并发症 

分 类 号：R401[医药卫生—临床医学]