有静脉注射海洛因病史患者30例中心静脉穿刺置管体会  

Experience of central venous catheterization on 30 patients with a history of heroin injection

作　　者：何吉飞 He Jifei(Provincial Police Hospital of Guizhou Province 550002)

机构地区：[1]贵州省司法警察医院,550002

出　　处：《中国社区医师》2016年第23期175-175,177,共2页Chinese Community Doctors

摘　　要：目的:探讨有静脉注射海洛因病史的患者行中心静脉穿刺置管术的方法。方法:对30例有静脉注射海洛因病史的患者行中心静脉穿刺置管术。结果:30例中心静脉穿刺置管均成功,其中1次穿刺成功23例,更换部位后穿刺成功7例。穿刺部位:右侧锁骨下19例,右侧颈内8例,左侧颈内3例。结论:静脉注射海洛因患者中心静脉穿刺置管较困难,通过积累经验,充分准备,熟练操作,才能提高对该类患者中心静脉穿刺置管成功率。Objective:To investigate the method of central venous catheterization in patients with a history of heroin injection.Methods:30 patients with a history of heroin injection were treated with central venous catheterization.Results:All of those 30 cases with central venous catheterization were successful,in which there were 23 cases successful puncture at once,another 7 cases were successful puncture after changing the puncture site.Puncture site:19 cases on the right side of the clavicle,8 cases on the right side of the neck,3 cases on the left side of the internal carotid.Conclusion:Central venous catheterization on patient with a history of intravenous injection of heroin is more difficult,need to accumulate experience,fully prepared and skilled operation,to improve the success rate of the central vein puncture catheter.

关 键 词：静脉注射海洛因 中心静脉穿刺置管术 体会 

分 类 号：R472[医药卫生—护理学]