Mallinson C, Bennett J, Hodgson P, Petros A J
Royal Brompton Hospital, London, UK.
Paediatr Anaesth. 1999;9(2):111-4. doi: 10.1046/j.1460-9592.1999.9220329.x.
The relative anatomy of the internal jugular vein (IJV) was studied in 25 patients undergoing cardiac catheterization under general anaesthesia, with the use of a portable ultrasound probe. In 14 of cases the IJV was anterior, 1 anterolateral and in 10 lateral to the carotid artery between the two heads of the sternocleidomastoid muscle. At the level of the cricoid cartilage, in six cases the IJV was anterior, three anterolateral and in 16 of children the IJV was lateral to the carotid artery. When attempting to cannulate the IJV, because of the variability in relationship of the IJV to CA the technique used should be modified depending upon the level at which cannulation is attempted. The position of the IJV in the child appears to be so variable extra care should be taken when cannulating the IJV and it should not be assumed that the techniques used in adults are directly transferable.
在25例接受全身麻醉下心脏导管插入术的患者中，使用便携式超声探头对颈内静脉（IJV）的相关解剖结构进行了研究。在14例病例中，颈内静脉位于颈动脉前方，1例位于颈动脉前外侧，10例位于胸锁乳突肌两头之间颈动脉的外侧。在环状软骨水平，6例颈内静脉位于颈动脉前方，3例位于前外侧，16例儿童的颈内静脉位于颈动脉外侧。在尝试对颈内静脉进行插管时，由于颈内静脉与颈动脉的关系存在变异性，应根据尝试插管的水平修改所使用的技术。儿童颈内静脉的位置似乎变化很大，在对颈内静脉进行插管时应格外小心，不应认为成人使用的技术可直接照搬。
