Mancini S, Fantini E, Gagliardi A, Cesta M G, Biancucci A, Porzia P, Grassi G B
G Chir. 1989 Jul-Aug;10(7-8):395-7.
The authors report their experience related to a series of 96 consecutive central venous catheters location through subclavian, right internal jugular, basilic and cephalic veins for TPN administration. Because of the specific complications reported, they are in favour of the trans-basilic peripheral approach for a short term TPN; the internal jugular or the subclavian way are indicated for long term ones. In addition, they stress the importance to limit the use of multilumen catheters just when absolutely necessary, due to the increased infection percentage.
作者报告了他们通过锁骨下静脉、右颈内静脉、贵要静脉和头静脉进行96例连续中心静脉置管用于全胃肠外营养(TPN)给药的经验。鉴于所报告的特定并发症,他们支持在短期TPN时采用经贵要静脉的外周途径;颈内静脉或锁骨下途径适用于长期TPN。此外,他们强调由于感染率增加,仅在绝对必要时才限制使用多腔导管的重要性。