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经贵要静脉或经锁骨下穿刺进行中心静脉置管?一项对照试验。

Central venous catheterization through the basilic vein or by infraclavicular puncture? A controlled trial.

作者信息

Sorensen T I, Sonne-Holm S

出版信息

Acta Chir Scand. 1975;141(5):323-5.

PMID:1101595
Abstract

Central venous catheterization through the basilic vein and by infraclavicular puncture of the subclavian vein was compared in a trial with random allocation to 125 candidate patients. The catheters were inserted via the two routes with roughly equal success rates. Subclavian catheters were maintained better for the period required than were basilic catheters. The infraclavicular puncture caused initial, and basilic catheterization, late complications. Consequently, infraclavicular puncture is preferable for long-term, and basilic catheterization for short-term, needs.

摘要

在一项针对125名候选患者的随机分配试验中,对经贵要静脉进行中心静脉置管和经锁骨下静脉锁骨下穿刺进行了比较。通过这两种途径插入导管的成功率大致相同。锁骨下导管在所需时间内的维护情况比贵要静脉导管更好。锁骨下穿刺会引起早期并发症,而贵要静脉置管会引起晚期并发症。因此,对于长期需求,锁骨下穿刺更可取;对于短期需求,贵要静脉置管更可取。

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