Felsch G, Richter G
Z Gesamte Inn Med. 1975 Aug 15;30(16):153-4.
On the basis of experiences with more than 500 catherizations of the subclavian vein, which were performed partly infraclavicularly, partly supraclavicularly, the two methods were critically estimated and compared with regard to their effectivity and complications. The range of indications is enlarged from the access through the veins for taking blood samples and the infusion therapy over the measurement of the central venous blood pressure to the floating catheterization, temporary external pacemaker stimulation and emergency dialysis. The mastering of the two techniques of puncture provides a high measure of security for the emergency case. On the assumption of an approach secundum artem and knowing and taking into consideration the possibilities of complication, which are particularly referred to, the two ways seem to be approximately of the same value.
基于500多次锁骨下静脉插管的经验(部分经锁骨下进行,部分经锁骨上进行),对这两种方法的有效性和并发症进行了严格评估和比较。适应证范围从经静脉采血和输液治疗、测量中心静脉血压扩大到漂浮导管插入术、临时体外起搏器刺激和紧急透析。掌握这两种穿刺技术为紧急情况提供了高度的安全性。在遵循操作规程并了解和考虑到特别提及的并发症可能性的前提下,这两种方法似乎具有大致相同的价值。