婴幼儿经颈内静脉穿刺中心静脉置管术置管深度两种计算方式的比较  

Comparison of two calculation methods for the depth of central venous catheterization via internal jugular vein in infants

作　　者：徐玉洁[1] 何明枫[1] 张斯璧[1] XU Yujie;HE Mingfeng;ZHANG Sibi(Department of Anesthesiology,First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,CHINA)

机构地区：[1]南京医科大学第一附属医院麻醉科,江苏210029

出　　处：《江苏医药》2018年第12期1413-1415,共3页Jiangsu Medical Journal

摘　　要：目的比较婴幼儿经颈内静脉穿刺中心静脉置管术置管深度两种计算方式的准确性。方法 30例全身麻醉下行心脏手术的婴幼儿均在麻醉诱导后行B超引导下经右侧颈内静脉穿刺中心静脉置管术。术中采用心房内心电监测技术引导送管,确定置管深度并记录为深度Ⅰ。每例患儿按照Andropoulos和Na提出的计算方式分别计算出深度Ⅱ和深度Ⅲ。采用线性相关分析分析深度Ⅱ或深度Ⅲ与深度Ⅰ的相关性。结果 30例患儿实际放置的中心静脉导管深度Ⅰ为(6.2±1.5)cm,计算出的深度Ⅱ大于深度Ⅲ[(7.7±1.9)cm vs.(6.1±1.3)cm](P<0.01)。深度Ⅲ与深度Ⅰ的相关性高于深度Ⅱ(R^2=0.83vs.0.75)(P<0.05)。结论 Na提出的计算方式更适用于预先计算婴幼儿经颈内静脉穿刺中心静脉置管术的置管深度。Objective To compare the accuracy of two different calculation methods for the depth of central venous catheterization via internal jugular vein puncture in infants.Methods Thirty infants underwent cardiac surgery under general anesthesia were treated with central venous catheterization via right internal jugular vein puncture under the guidance of B-ultrasound after induction of anesthesia.The intracardiac electrocardiographic monitoring technique was used to guide the delivery of the tube (depth 1).The depth 2 and depth 3 of each patient were calculated according to the calculations proposed by Andropoulos and Na.The correlation between depth 2 or depth 3 and depth 1was analyzed using linear correlation analysis.Results The depth 1 was (6.2±1.5)cm in 30 infants,and the depth 2 was deeper than depth 3[(7.7±1.9)cm vs.(6.1±1.3)cm](P<0.01). The correlation between depth 3 and depth 1 was closer than that between depth 2 and depth 1 (R^2=0.83 vs.0.75)(P<0.05).Conclusion The calculation method proposed by Na is more suitable for the pre-calculation of the depth of central venous catheterization via the internal jugular vein puncture in infants.

关 键 词：中心静脉置管术 婴幼儿 

分 类 号：R614[医药卫生—麻醉学]