32例超声引导下颈内静脉穿刺置管术体会

Ultrasound-guided catheterization of the internal jugular vein

目的评估超声引导下颈内静脉穿刺的临床价值。方法通过二维超声显像,明确右侧颈内静脉的解剖位置,在超声引导下对32例尿毒症患者进行颈内静脉穿刺置管。结果28例1次成功,1例进针3次穿刺成功,2例穿刺失败,1例因颈内静脉血栓不能穿刺,穿刺成功率93.5%,无1例出现误穿颈动脉和气胸等穿刺并发症。结论超声引导下颈内静脉穿刺置管术是一种快速简便、安全有效的方法。

Objective To evaluate ultrasound-guided catheterization of the internal jugular vein. Methods The internal jugular veins of 32 uremic patients were catherated under the guidance of two-dimensional ultrasound. Results The successful rate of ultrasound-guided catheterization was 93.5%. Twenty-eight of 32 patients were catheterted properly with once attempt, 1 of 32 patients with three attempts. Two cases were failure, and one case couldn't be cathetered because of thrombosis in the internal jugular vein. There were no complications, such as unintentional puncture of carotid artery or pneumothorax. Conclusion Ultrasound-guided catheterization of the internal jugular vein is quick, safe and effective.