上肢浅静脉穿刺的应用解剖研究  

Study on clinical application in uperficial veins of upper limb

作　　者：邓兆宏[1] 王汉琴[1] 王金勇[1] 陈家强[1] 张兴华[1] 李勇[1] 

机构地区：[1]郧阳医学院解剖学教研室,湖北十堰442000

出　　处：《中国现代医学杂志》2010年第3期381-385,共5页China Journal of Modern Medicine

摘　　要：目的观测上肢的浅静脉,为临床应用提供局部解剖学资料。方法对30具成人尸体上肢浅静脉进行了解剖和观测。结果解剖观察了手背静脉网、弓的形成和属支的分布,可见形成手背静脉网左侧19例,占(63.3±18.8)%,右侧20例,占(66.6±8.6)%。形成手背静脉弓左侧11例,占(36.6±8.8)%,右侧10例,占(33.3±8.6)%。贵要静脉的深面是由肱二头肌腱发至深筋膜的肱二头肌腱膜,此肌膜把静脉同肱动脉、正中神经隔开,贵要静脉可跨过前臂内侧皮神经,前臂内侧皮神经也可跨过贵要静脉。测量了头静脉、贵要静脉、肘正中静脉、前臂正中静脉的外径,均在1.0mm以上。结论为在手背静脉网处作逆行穿刺、静脉置管、穿刺选择血管、预防穿刺引起的神经损伤等提供了局部解剖学资料。【Objective】To provide regional anatomical basis for clinical application through surveying vein of upper limb.【Method】Veins of upper member were dissected in 30 adult specimens.【Results】The dissection investigated the formation of dorsal venonus rete of hand,arcus venosus and their branches distribution,the left side dorsal venonus rete of hand were 19 cases,accounting for（63.3±18.8）%,the right side were 20 cases,accounting for（66.6±8.6）%.The left side arcus venonus of hand were 11 cases,accounting for（36.6±8.8） %,and the right side were 10 cases,accounting for（33.3±8.6） %.Aponeurosis bicipitalis from biceps brachii tendon to deep fascia was in the deep of basilic vein,which separate vein from arteria brachialis and median nerve.Basilic vein could across medial cutaneous nerve of forearm,and medial cutaneous nerve of forearm also could aross basilic vein.The outside diameters of cephalic,basilic,median cubital and median antebrachial vein were measured,which were all above 1.0 mm.【Conclusion】Our study provide regional anatomical data for the puncture,putting a pipe in vein,selecting blood vessel in puncture and preventing nerve injury in puncture in dorsal venous rete of hand.

关 键 词：上肢浅静脉 临床应用 

分 类 号：R323.71[医药卫生—人体解剖和组织胚胎学]