Magalhaes P, Humair L, Jacot C, de Torrenté A
Schweiz Med Wochenschr. 1986 Apr 26;116(17):579-82.
The frequency of venous thrombosis during central vein catheterization was prospectively studied in a group of 51 patients (53 catheterizations) during a 10-month period. 12 catheterizations (23%) resulted in thrombosis as revealed by phlebography. Of these, 11 were due to catheters whose site of entry was the upper limb. No other favoring factors (osmolality of the infused fluids, length or catheterization etc.) were detected. Ideally, to avoid thrombosis, central venous catheters should be inserted via the jugular or the subclavian vein, while bearing in mind that these other routes are not devoid of complications either.
在10个月期间，对一组51例患者（53次置管）进行前瞻性研究，以观察中心静脉置管期间静脉血栓形成的频率。静脉造影显示，12次置管（23%）导致血栓形成。其中，11次是由于导管进入部位在上肢。未发现其他有利因素（输注液体的渗透压、置管长度等）。理想情况下，为避免血栓形成，中心静脉导管应通过颈静脉或锁骨下静脉插入，同时要记住这些其他途径也并非没有并发症。
