Wang Yuan, Fu Jia, Li Hao Y, Du Shi J, Zhang Yun Y, Wang Hao Y, Wang Jing W, Mao Jian F, Zhang Hong T, Chang Cheng
School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, China.
The First Affiliated Hospital of Xinxiang Medical College, Xinxiang, China.
BMC Cardiovasc Disord. 2024 Dec 3;24(1):694. doi: 10.1186/s12872-024-04305-z.
This study explores the main surface markers in the hemodialysis puncture catheterization pathway and the relative spatial position of venous vessels in the puncture results, providing data support for venous puncture. Seventy cadavers were studied; angles of vertical axis with superior vena cava, left and right brachiocephalic vein at the confluence and circumference of superior vena cava were the primary parameters. Bivariate correlation analysis was used to determine in relation to other body parameters, and a regression equation was also obtained. The angle of the vertical axis with the superior vena cava at the confluence was linearly correlated with the distances between the coracoid processes and the jugular notch to coracoid processes. The angle of the vertical axis with left brachiocephalic vein was linearly correlated with the thickness of thorax and the length from the upper pericardial margin to the confluence. The angle of the vertical axis with right brachiocephalic vein was correlated with clavicular midline length, acromial distance, intersection point of clavicle to clavicular midline, confluence to clavicular midline, superior edge of the blood vessels to superior edge of clavicle at the right intersection, and superior edge of pericardium to confluence. There is a linear relationship between the superior vena cava circumference and the distance from the superior vena cava to the aorta. A number of parameters influence angles of the vertical axis with superior vena cava, left and right brachiocephalic veins and the superior vena cava circumference which can provide guidance for intubation.
本研究探讨血液透析穿刺置管路径中的主要表面标志物以及穿刺结果中静脉血管的相对空间位置,为静脉穿刺提供数据支持。研究了70具尸体;上腔静脉、左右头臂静脉汇合处以及上腔静脉圆周处垂直轴的角度是主要参数。采用双变量相关分析确定与其他身体参数的关系,并得到回归方程。上腔静脉汇合处垂直轴的角度与喙突之间以及从颈静脉切迹到喙突的距离呈线性相关。左头臂静脉垂直轴的角度与胸廓厚度以及上心包边缘到汇合处的长度呈线性相关。右头臂静脉垂直轴的角度与锁骨中线长度、肩峰距离、锁骨与锁骨中线的交点、汇合处到锁骨中线的距离、右侧交点处血管上缘到锁骨上缘的距离以及心包上缘到汇合处的距离相关。上腔静脉圆周与上腔静脉到主动脉的距离之间存在线性关系。许多参数影响上腔静脉、左右头臂静脉垂直轴的角度以及上腔静脉圆周,可为插管提供指导。