Sabin H I, Coghill S B, Khunti K, McNeill G O
Lancet. 1983 Nov 5;2(8358):1054-5. doi: 10.1016/s0140-6736(83)91040-1.
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.
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。