Ahn W S, Kang J S
J Pediatr Surg. 1986 Apr;21(4):344-7. doi: 10.1016/s0022-3468(86)80200-7.
Venous access is a common problem in the care of seriously ill infants and neonates on pediatric and pediatric surgical services, and recently there has been a high increase in indications for central venous lines. With the development of many types of silastic catheters, a new safe and fast method of catheter insertion, subcutaneous tunneling and fixation has been developed. Our method is based on Yoffa's (1965)1 description. In the past we used infraclavicular subclavian venipuncture,2 but now we prefer to use the supraclavicular subclavian venipuncture as the first choice in children. Thirty-one catheters were placed in 27 consecutive patients ranging in age from two days to ten years. Perioperative complications were nil, and those catheterized for a long period of time had relatively few complications.
在儿科及小儿外科服务中，静脉通路问题在重症婴幼儿护理中很常见，最近中心静脉置管的适应证大幅增加。随着多种硅橡胶导管的发展，已开发出一种新的安全、快速的导管插入、皮下隧道形成及固定方法。我们的方法基于约法（1965年）的描述。过去我们采用锁骨下静脉穿刺，但现在我们更倾向于在儿童中首选锁骨上锁骨下静脉穿刺。在连续27例年龄从2天至10岁的患者中放置了31根导管。围手术期无并发症，长期置管的患者并发症相对较少。
