摘要
目的探讨如何迅速建立有效的可靠的静脉通路,救治特殊体位的急危重症患者。方法我院急诊科1992-01~2005-12选择和建立深静脉通路共2489例,选用常规(去枕平卧位)方法及非常规(特殊体位:不去枕卧位、半卧位、斜卧、坐位)穿刺方法。结果深静脉颈内静脉穿刺为43例(1.73%);锁骨下静脉为2230例(89.59%),其中锁骨下静脉穿刺上入路病例389例,行下入路锁骨穿刺术的病例1841例;股静脉为216例(8.68%)。结论深静脉穿刺置管是危重患者急救复苏的关键,锁骨下静脉的上下入路可以作为常规、非常规体位患者抢救、紧急给药或复苏时首选。
Objective To study how to establish effective and reliable venous channel to treat severe cases with special body position. Methods 2489 cases were selected to establish venous channel by routine method and non - routine method during past 14 years. Results 43 cases selected vena jugularis interna ( 1.73% ) , 216 cases femoral vein and 2230 cases subclavian vein. Conclusions It is key for severe case to establish effective and reliable deep venous channel. Upper and below approach of subclavian vein is first choice for salvage, urgent administration and resuscitation of the patients with normal or special body position.
出处
《中国急救医学》
CAS
CSCD
北大核心
2007年第5期423-426,共4页
Chinese Journal of Critical Care Medicine
关键词
静脉通路
锁骨下静脉穿刺
特殊体位
Venous channel
Subclavian vein puncture
Special body position