经锁骨下中心静脉置管在新生儿中的临床应用

The clinical application of central venous catheterization via subclavian approach in neonate

目的总结我院新生儿科经锁骨下中心静脉置管技术的应用经验,探讨其临床应用及管理。方法选择适宜新生儿18例,采用Arrow小儿中心静脉插管套件从锁骨下进路行锁骨下静脉穿刺中心静脉置管。进针点位于锁骨中点下方,偏外约0.5cm,导管置入深度为3-6cm,术后以胸部摄片确定并调整导管深度。结果穿刺总成功率83.3%,全部顺利插入中心静脉导管,未观察到严重并发症。结论经锁骨下中心静脉置管技术可安全有效地应用于新生儿。

Objective To summarize the experience of central venous catheterization via subclavian approach in neonate, and explore the application and management of this technique in clinic. Methods 18 appropriate neonates were selected to apply central venous catheterization via subclavian approach. The equipment was pediatric vein catheterization set, from Arrow international, Inc. The puncture point located 0.5cm outside the median of infraclavicula. The depth of insertion was 3-6cm. The positions were always confirmed by plain radiograph. Results The overall success rate of puncture was 83.3%. There was no serious compLication be found. Conclusion The technique of central venous catheterization via subclavian approach is safe and feasible in neonate.