超声引导下颈内静脉置管在急诊休克患者液体复苏中的应用分析  

作　　者：喻依川 魏晓宇[2] 

机构地区：[1]重庆医科大学附属永川医院急诊医学科,402160 [2]重庆医科大学附属永川医院感染科,402160

出　　处：《医药产业研究》2024年第6期70-72,共3页PHARMACEUTICAL INDUSTRY RESEARCH

基　　金：永川区科委项目:2024yc-cxfz30055。

摘　　要：目的:探讨超声导引下颈内静脉置管在急诊休克患者液体复苏中的应用价值。方法:本研究以本院68例急性休克病人为研究对象,采用数字化方法,分别采用盲穿法和超声辅助静脉置管。超声协助组,即在穿刺前,利用超声波来确定特定的血管部位,然后在上面做上记号,然后在超声的指引下,再次行颈内静脉穿刺。盲穿组采用了较为常规的体表解剖学姿势,这样就能确定准确的位置,然后开始穿刺。并对两组病人的实际穿刺时间等资料作了比较和分析。结果:两组患者各指标比较均有显著性差异(P<0.05)。结论:用超声导引,在休克病人中,静脉置管第一次穿刺法的成功率是相当高的,可以在临床上为休克病人进行液体复苏提供临床支持,并且在实际的置管时间方面也存在着一定的优势,可以相对广泛的应用到休克患者液体复苏中去。Objective:To explore the value of internal jugular vein catheterization in fluid resuscitation in emergency shock patients.Methods:In this study,68 patients with acute shock were studied by blind puncture and ultrasound-assisted intravenous catheterization.The ultrasound assistance group,before the puncture,uses the ultrasound to determine the specific vessel site,then marked it,and then performed the internal jugular vein puncture again under the ultrasound guidance.The blind piercing group used a more conventional body surface anatomical posture,which could determine the exact position and then start the puncture.The actual puncture time data of the two groups were compared and analyzed.Results:There were significant differences between the two groups(P<0.05).Conclusion:With ultrasound guidance,the success rate of intravenous catheterization first puncture method is quite high in shock patients,which can provide clinical support for fluid resuscitation in shock patients clinically,and has certain advantages in the actual catheterization time,which can be relatively widely used in fluid resuscitation in shock patients.

关 键 词：超声引导 休克患者 颈静脉穿刺置管 应用分析 

分 类 号：R605[医药卫生—外科学]