不同途径锁骨下静脉穿刺对比研究  

A Comparative Study on Subclavian Vein Puncture by Different Pathway

作　　者：王仁学[1] 丁世芳[1] 陈志楠[1] 卢青[1] 蒋桔泉[1] 龚志刚[1] 李志刚[1] 彭毅[1] 

机构地区：[1]广州军区武汉总医院,湖北武汉430070

出　　处：《中国医学创新》2013年第13期129-130,共2页Medical Innovation of China

摘　　要：目的:对比观察常规锁骨下静脉穿刺与改进二点法锁骨下静脉穿刺途径的穿刺成功率及并发症。方法:对笔者所在科2008-2011年进行锁骨下静脉穿刺的220例患者,按常规法及二点法进行穿刺,其中常规法80例,二点法140例,观察两种途径的穿刺成功率、穿刺置管相关并发症。结果:二点法穿刺成功率94.3%,显著高于常规锁骨下静脉穿刺途径成功率85.0%(P<0.05);穿刺相关并发症较常规法少。结论:二点法穿刺锁骨下动脉成功率高,并发症少,值得推广。Objective： To compare the success rate and complications of traditional subclavian vein puncture and improved two-point subclavian vein puncture.Method： Researched 220 subclavian vein puncture cases from 2008 to 2011 in our department, including 80 cases via traditional subclavian access and 140 cases via two-point subclavian venous access. Follow-up assessment was observed on the success rate and complications. Result： The two-point subclavian vein puncture success rate was 94.3%, while tradition method was 85.0%.There were significant difference in success rate and complications of the two puncture access （P〈0.05） .Conclusion： Higher success rate and less complication were observed in two-point subclavian vein puncture cases the traditional vein puncture.It is worth promoting.

关 键 词：锁骨下静脉穿刺 二点法 成功率 并发症 

分 类 号：R472[医药卫生—护理学]