锁骨下静脉穿刺置管术改进的X线解剖依据和临床应用  

X-rays anatomical theory and application of modified subclavian vein puncture

作　　者：刘俊[1] 王成名[1] 莫毅[1] 梁振杰[1] 刘端绘 

机构地区：[1]梧州市红十字会医院,广西梧州543002

出　　处：《现代医药卫生》2009年第19期2911-2912,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨锁骨下静脉穿刺置管的方法。方法:回顾性分析110例实施锁骨下静脉穿刺置管术患者的X线片,锁骨下静脉穿刺导管的X线解剖特点,另将140例分为对照组70例采用传统方法操作,改进组70例依据X线解剖特点采用改进的方法操作,对两种方法效果进行比较,及140例患者锁骨下静脉穿刺导管的X线解剖特点。结果:锁骨下静脉穿刺导管通常走行于锁骨内侧1/3段后方,一般不超出锁骨内侧1/3段的上下缘。改进组一针穿刺成功率78.57%,穿刺总成功率97.14%,穿刺置管时间(13±6.2)min;对照组一针穿刺成功率35.71%,穿刺总成功率85.71%,穿刺置管时间(18±7.6)min。结论:依据X线解剖特点改进的锁骨下静脉穿刺置管术,可以提高穿刺成功率,缩短穿刺置管时间。Objective：To investigate the primitive procedures of the subclavian vein puncture in order to improve the successful rate.Methods：X-rays of 110 patiens receiving the subclavian vein puncture were reviewed and the anatomical characteristics in x-rays were analyzed.A total of 140 operation patients were divided into test and control sroups randomly.The patients of control group （70 patients） were performed the puncture according to traditional method.While the patients of test group（70 patients） were performed the puncture in improved method.Two methods were compared and the anatomical characteristics in x-rays were analyzed.Results：Subclavian vein catheterization usually lays behind one third of the inner surface of clavicle, usually not exceeds the up and down/imitations of one third of the inner surface of clavicle.The one-time successful puncture rate of the test group was 78.57% ,the total successful puncture rate 97.14% ,the puncture time（13±6.2）min.The control group were 35.71%, 85.71%, （18±7.6）min respectively.Conclusion：The modified subclavian vein puncture can improve the successful rate and shorten the puncture time.

关 键 词：废弃物 焚烧炉 优化燃烧 特性分析 仿真 

分 类 号：R445[医药卫生—影像医学与核医学]