后入路颈内静脉穿刺置管386例分析  

Anlysis on the application of posterior approach in jugular vein catheterization in 386 cases

作　　者：李艳[1] 刘建华[1] 王永华[2] 

机构地区：[1]成都军区总医院门诊部,四川成都610083 [2]成都军区总医院胃肠病区,四川成都610083

出　　处：《局解手术学杂志》2013年第2期134-135,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨和总结后入路颈内静脉穿刺置管技术要点及术中注意事项。方法我院自2011年1月至2012年1月接受后入路颈内静脉穿刺置管患者共386例,回顾性分析穿刺过程中及穿刺后并发症情况,总结穿刺技术要点。结果术中并发症共15例(3.9%),其中误穿动脉5例(1.3%),穿刺置管失败5例(1.3%),血气胸2例(0.5%),心律失常1例(0.26%),术中出血2例(0.5%);术后并发症共13例(3.4%),其中导管感染5例(1.3%),导管周围渗液2例(0.5%),导管阻塞4例(1.0%),局部血肿2例(0.5%)。结论后入路颈内静脉穿刺置管术前定位非常重要,规范操作可以降低术中及术后并发症的发生率。Objective To discuss and summarize the skills of jugular vein catheterization which treated by posterior approach. Meth- ods The puncture and complications of 386 patients from January 2011 to January 2012 were analyzed retrospectively. And the main points of puncture were summarized. Results Complications occurred in 15 cases （3.9%）. Five cases were mistakenly punctured （ 1.3% ）. Five cases failed on jugular vein catheterization（ 1.3% ）. Two eases were pneumohemothorax（0.5% ）. One cases was arrhythmia（0.26% ） and 2 cases were bleeding（0.5% ） during puncture. Postoperative complication occurred in 13 cases （ 3.4% ）. While 5 eases （ 1.3% ） of them caused by catheter infection and 2 cases（0. 5% ） caused by exudate around the catheter. Catheter blockade and local hematoma occurred re- spectively in 4 cases（ 1.0% ） and 2 cases （0.5%）. Conclusion Preoperative localization is critically important for posterior approach in jugular vein catheterization,and intra-and postoperative complications can be reduced by standard oueratin~.

关 键 词：颈内静脉穿刺 中心静脉置管 并发症 

分 类 号：R472.9[医药卫生—护理学]