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一项尸检研究确定的心内注射准确性。

Accuracy of intracardiac injections determined by a post-mortem study.

作者信息

Sabin H I, Coghill S B, Khunti K, McNeill G O

出版信息

Lancet. 1983 Nov 5;2(8358):1054-5. doi: 10.1016/s0140-6736(83)91040-1.

DOI:10.1016/s0140-6736(83)91040-1
PMID:6138601
Abstract

Intracardiac injection sites were traced at necropsy on 18 patients who died after unsuccessful cardiopulmonary resuscitation. In only 13 patients (72%) was the heart punctured. Of the 46 injections carried out, 5 (11%) pierced the left ventricle and 13 (28%) the right ventricle. Other structures punctured included the pulmonary trunk, the aorta, and the lung. The fourth intercostal space just lateral to the sternal edge was the commonest injection site, and only 5 injections were subxiphoid. Post-mortem injections on a further 20 cadavers confirmed that the right ventricle is the most frequent puncture site whichever approach is used.

摘要

对18例心肺复苏失败后死亡的患者进行尸检,追踪心内注射部位。仅13例患者(72%)心脏被穿刺。在进行的46次注射中,5次(11%)刺入左心室,13次(28%)刺入右心室。其他被穿刺的结构包括肺动脉干、主动脉和肺。胸骨边缘外侧的第四肋间是最常见的注射部位,仅5次注射是剑突下注射。对另外20具尸体进行的死后注射证实,无论采用何种方法,右心室都是最常被穿刺的部位。

相似文献

1
Accuracy of intracardiac injections determined by a post-mortem study.一项尸检研究确定的心内注射准确性。
Lancet. 1983 Nov 5;2(8358):1054-5. doi: 10.1016/s0140-6736(83)91040-1.
2
Intracardiac injections during cardiopulmonary resuscitation. A low-risk procedure.心肺复苏期间的心内注射。一项低风险操作。
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[Intracardiac injection within the scope of resuscitation of newborn infants].[新生儿复苏范围内的心内注射]
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引用本文的文献

1
The place of intracardiac injections in the treatment of cardiac arrest.心内注射在心脏骤停治疗中的地位。
Drugs. 1991 Dec;42(6):915-8. doi: 10.2165/00003495-199142060-00002.
2
Catecholamines in critical care. The commonly used catecholamines: receptor and clinical profile, indications and dosages.危重症监护中的儿茶酚胺。常用儿茶酚胺:受体与临床特征、适应证及剂量。
Pharm Weekbl Sci. 1992 Oct 16;14(5):290-6. doi: 10.1007/BF01977616.