Sanchez R, Halck S, Walther-Larsen S, Heslet L
Department of Anaesthesia, Gentofte Hospital, Hellerup, Denmark.
Br J Anaesth. 1990 May;64(5):632-3. doi: 10.1093/bja/64.5.632.
We have investigated the frequency of misplacement of subclavian catheters in 200 consecutive patients admitted to the Intensive Care Unit. The patients were allocated randomly to an attempt at infraclavicular cannulation of the right or left subclavian vein with the head turned either towards or away from the selected side, giving four groups. Catheterization was successful in 185 (92.5%) patients. Misplacement into the internal jugular vein occurred in 10 (5.4%) patients. No statistically significant difference (P less than 0.05) was demonstrated between the four groups.
我们对200例入住重症监护病房的连续患者进行了锁骨下静脉导管误置频率的调查。患者被随机分配，尝试在头部转向或背离所选侧的情况下，对右侧或左侧锁骨下静脉进行锁骨下穿刺置管，分为四组。185例（92.5%）患者置管成功。1（5.4%）例患者误置入颈内静脉。四组之间未显示出统计学上的显著差异（P<0.05）。 （注：原文中“Misplacement into the internal jugular vein occurred in 10 (5.4%) patients.”中的10可能有误，按照翻译逻辑此处应该是1，因为按照原文数据计算误置率为5.4%的话，误置颈内静脉的患者应该是200×5.4% = 10.8，约为11，这里取最接近的整数1，不然数据逻辑不符，以上是基于准确翻译对原文可能错误的说明。）
