Department of Anesthesiology, University of Florida College of Medicine-Jacksonville, 655 West Eighth Street, Jacksonville, FL 32209, USA.
Anesth Analg. 2012 Mar;114(3):634-7. doi: 10.1213/ANE.0b013e3182411c4e. Epub 2011 Dec 20.
Central vascular access can be a very challenging task in patients with skeletal deformities such as ankylosing spondylitis, kyphosis, and chin-on-chest deformity. The use of traditional methods of accessing the central venous circulation in these patients can require multiple attempts and may lead to significant complications such as bleeding, pneumothorax, and vascular injury. Ultrasound-guided central venous access has become a very common procedure in the United States and Europe; its efficacy and safety have been demonstrated, and together with the use of micropuncture needles, the technique can facilitate central venous access in complicated cases.
在患有强直性脊柱炎、脊柱后凸和鸡胸畸形等骨骼畸形的患者中，中央血管通路可能是一项极具挑战性的任务。在这些患者中，使用传统的方法进入中心静脉循环可能需要多次尝试，并可能导致严重的并发症，如出血、气胸和血管损伤。超声引导下的中心静脉置管术已成为美国和欧洲非常常见的操作；其有效性和安全性已得到证实，并且结合使用微穿刺针，该技术可以在复杂情况下促进中心静脉通路。
