颈外静脉与四肢静脉留置针在严重创伤患者中的应用比较  

APPLICATION COMPARISION OF EXTERNAL JUGULAR VEIN AND LIMB VEIN DETAINING NEEDLE IN SEVERE TRAUMATIC PATIENTS

作　　者：张桂芬[1] 

机构地区：[1]佛山市顺德区第一人民医院,广东佛山528300

出　　处：《现代医院》2010年第4期101-102,共2页Modern Hospitals

摘　　要：目的为快速建立有效的静脉通路,提高急诊严重创伤患者的抢救成功率,对比颈外静脉与四肢浅静脉留置针的输液效果。方法对2008年1月～2009年6月我院急诊科接诊的250例各种创伤患者,应用颈外静脉、四肢浅静脉留置针穿刺各125例,然后对比颈外静脉与四肢浅静脉留置针穿刺所需时间、一次穿刺成功率、液体通畅情况、液体最大流速、血压明显升高所需的平均时间等。结果颈外静脉穿刺具有穿刺所需时间短、一次穿刺成功率高、液体通畅良好、液体流速快、血压明显升高所需的平均时间短、导管易固定脱出少、液体不易渗漏等优点。颈外静脉组明显优于四肢浅静脉组,p<0·01。结论颈外静脉留置针穿刺能更好达到补液效果,更快地为严重创伤的患者赢得抢救时间。值得急诊科推广应用。Objective To set up effective intravenous accesses more rapidly improving the success survive rate of patients in emergency treatment, compare the effects of external jugular vein and limb superficial vein for indwelling needle. Methods Dividing 250 patients in emergency as two groups, group 1 was used external jugular vein, group 2 are used thigh vein and limb superficial vein, and then make a record of the two groups＇ time, one time puncture successful rate, free movement of the liquid, the max liquid flow speed, the average time on elevation of higher blood pressure, etc. Results External jugular vein has the advantage of short time puncture, high success rate of one time puncture, liquid flow well, short time of become higher of blood pressure, liquid could not be leaked,etc. It has absolutely advantages over thigh vein and limb superficial vein（p 〈 0.01 ）. Conclusion External jugular vein can better meet the need of fluid infusion, save more time for patient suffering severely wound. External jugular vein has promising application value in emergency department.

关 键 词：颈外静脉 留置针 严重创伤患者 

分 类 号：R472.9[医药卫生—护理学]