Getzen L C, Pollak E W
Am J Surg. 1979 Dec;138(6):875-8. doi: 10.1016/0002-9610(79)90314-3.
Results of femoral vein catheterization were compared with those of subclavian and antecubital vein catheterization in 2,345 combat casualties during treatment of hypovolemic shock. Femoral vein catheterization was successful in 95.5 per cent of cases. Accidental arterial puncture occurred in 6.3 per cent, hematomas in 1.3 per cent, and infection in 1.4 per cent. Subclavian vein catheterization was successful in 92.4 per cent. Arterial puncture occurred in 0.4 per cent, hematomas in 0.3 per cent, infection in 1.1 per cent, pneumothorax in 1.4 per cent, and hydrothorax in 0.4 per cent. Antecubital vein catheterization was successful in 77.6 per cent, infection developed in 3.3 per cent, and phlebitis occurred in 5.6 per cent. No clinically detectable phlebitis occurred after either femoral or subclavian vein catheterization. The low morbidity of femoral vein catheterization in this series suggests that this approach be considered when short-term massive intravenous fluid administration is indicated in the treatment of circulatory collapse or cardiac arrest.
在对2345例低血容量性休克战斗伤员的治疗过程中，对股静脉置管的结果与锁骨下静脉和肘前静脉置管的结果进行了比较。股静脉置管95.5%的病例成功。意外动脉穿刺发生率为6.3%，血肿发生率为1.3%，感染发生率为1.4%。锁骨下静脉置管成功率为92.4%。动脉穿刺发生率为0.4%，血肿发生率为0.3%，感染发生率为1.1%，气胸发生率为1.4%，血胸发生率为0.4%。肘前静脉置管成功率为77.6%，感染发生率为3.3%，静脉炎发生率为5.6%。股静脉或锁骨下静脉置管后均未发生临床可检测到的静脉炎。本系列中股静脉置管的低发病率表明，在循环衰竭或心脏骤停的治疗中，当需要短期大量静脉输液时，应考虑这种方法。
