Sripairojkul B, Oewsakul T, Adultrakoon A
Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Hat Yai, Thailand.
J Med Assoc Thai. 1999 Feb;82(2):186-91.
Thirty-two (32) cadavers were dissected to find the anatomical landmark for puncturing the internal jugular vein. The point for the right internal jugular vein was 2 cm above and 2.17 cm lateral to the right clavicular head, and that for the left internal jugular vein was 2 cm above and 2.08 cm lateral to the left clavicular head. The right internal jugular vein was found to dominate eighty-eight per cent (88%) of the cadavers. The anatomical point 2 cm above and 2 cm lateral to the head of the clavicle was appropriate for puncturing the internal jugular vein. After puncturing the internal jugular vein, a catheter was inserted ascending to the jugular bulb where jugular venous O2 saturation (Sjv O2) related to the cerebral metabolism was detected.
解剖了32具尸体以寻找穿刺颈内静脉的解剖学标志。右侧颈内静脉的穿刺点在右侧胸锁乳突肌锁骨头上方2厘米、外侧2.17厘米处，左侧颈内静脉的穿刺点在左侧胸锁乳突肌锁骨头上方2厘米、外侧2.08厘米处。发现右侧颈内静脉在88%的尸体中占主导地位。锁骨头上方2厘米、外侧2厘米处的解剖点适合穿刺颈内静脉。穿刺颈内静脉后，插入一根导管向上至颈静脉球，在此检测与脑代谢相关的颈静脉血氧饱和度（Sjv O2）。
