[颈内静脉穿刺的体表标志法与超声引导法：住院医师与 staffs 的比较] （这里原文中“staffs”表述有误，可能是“staff”，可根据实际情况调整准确翻译）
[Landmark method and ultrasound-guided method of internal jugular vein puncture: comparison of residents with staffs].
作者信息
Kusumoto Go, Sugi Yasuyuki, Higa Kazuo, Shono Shinjirou, Katori Kiyoshi, Nitahara Keiichi
机构信息
Department of Anesthesiology, Fukuoka University Faculty of Medicine, Fukuoka.
出版信息
Masui. 2010 Jan;59(1):64-6.
BACKGROUND
We compared landmark with ultrasound-guided methods of internal jugular vein puncture in residents and staffs.
METHODS
Seven residents and five staffs practiced internal jugular vein puncture with landmark and ultrasound-guided methods on a manikin for internal jugular vein cannulation. Thereafter, they performed internal jugular vein cannulation on 42 patients.
RESULTS
Number of attempts of internal jugular vein cannulation by the residents was significantly lower with ultrasound-guided method than with landmark method. Three internal jugular veins could not be cannulated by residents with landmark method. The common carotid artery was punctured in one case with either method by residents.
CONCLUSIONS
Residents need more practice of internal jugular vein puncture on a manikin before clinical practice.
背景
我们比较了住院医师和工作人员采用体表标志法与超声引导法进行颈内静脉穿刺的情况。
方法
7名住院医师和5名工作人员在用于颈内静脉置管的人体模型上，分别采用体表标志法和超声引导法练习颈内静脉穿刺。此后，他们对42例患者进行了颈内静脉置管。
结果
住院医师采用超声引导法进行颈内静脉置管的尝试次数显著低于体表标志法。采用体表标志法时，住院医师有3例颈内静脉未能成功置管。住院医师采用两种方法均有1例穿刺到颈总动脉。
结论
住院医师在临床实践前需要在人体模型上更多地练习颈内静脉穿刺。
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