Martin C, Auffray J P, Saux P, Albanese J, Gouin F
Chest. 1986 Nov;90(5):694-7. doi: 10.1378/chest.90.5.694.
The axillary vein route was investigated prospectively for percutaneous pulmonary artery catheterization in 79 patients who underwent 83 attempts. Forty nine of these patients were tracheostomized and under mechanical ventilation and eight had hemostasis disorders. Successful catheterization was achieved 74 times in the 79 patients. Pulmonary artery was reached within 6 +/- 2.1 min after the catheter was set in place in the axillary vein. Less than 1 min was needed in 53 cases. Puncture of the axillary artery was noted in 11 patients without complication. No other significant complication was noted following the punctures. Mean duration of catheterizations was 3.6 +/- 2 days. No septicemia was related to the catheterization procedure. One thrombosis of the axillary vein was noted. Catheterization of the pulmonary artery via the axillary vein is safe, simple and reliable and can represent an alternative method should the use of other routes be unsuccessful.
对79例患者进行了83次经皮肺动脉导管插入术，前瞻性研究了腋静脉途径。这些患者中有49例接受了气管切开并进行机械通气，8例有止血障碍。79例患者中有74次成功进行了导管插入术。导管置入腋静脉后6±2.1分钟内到达肺动脉。53例患者用时不到1分钟。11例患者出现腋动脉穿刺，无并发症。穿刺后未发现其他严重并发症。导管插入术的平均持续时间为3.6±2天。无败血症与导管插入术相关。发现1例腋静脉血栓形成。经腋静脉进行肺动脉导管插入术安全、简单且可靠，在其他途径使用不成功时可作为一种替代方法。
