Malatinský J, Faybík M, Griffith M, Májek M, Sámel M
Resuscitation. 1983 Aug;10(4):259-70. doi: 10.1016/0300-9572(83)90028-x.
The authors analyse the incidence of puncture, catheterization and failures of positioning in a series of 420 central venous catheterizations performed in 388 patients, using six transcutaneous approaches: supraclavicular and infraclavicular subclavian, external and internal transjugular, antecubital and brachiocephalic. Puncture failures were recorded at 7.9% per 36 failures from 456 attempts, catheterization failures at 5.8% per 26 failures from 446 attempts, and misplacements at a rate of 5.7% per 23 misplacements during 420 catheterizations. The results show that, in respect of puncture, catheterization and success of positioning, the supraclavicular subclavian approach may be recommended preferentially. The internal jugular, brachiocephalic and infraclavicular subclavian approaches are also advantageous. A high rate of failures and misplacements was recorded in the antecubital and external jugular groups. The antecubital veins, however, should be reserved for orthopnoeic sitting patients, the success rate being significantly increased if the patients are sitting.
作者分析了在388例患者中进行的420次中心静脉置管的穿刺、置管及定位失败的发生率，采用了六种经皮入路：锁骨上和锁骨下锁骨下、颈外和颈内静脉、肘前和头臂静脉。456次穿刺尝试中有36次失败，穿刺失败率为7.9%；446次置管尝试中有26次失败，置管失败率为5.8%；420次置管中有23次位置不当，位置不当率为5.7%。结果表明，在穿刺、置管及定位成功方面，锁骨上锁骨下入路可能优先推荐。颈内静脉、头臂静脉和锁骨下锁骨下入路也有优势。肘前静脉和颈外静脉组的失败率和位置不当率较高。然而，肘前静脉应保留给端坐呼吸的患者，如果患者处于坐位，成功率会显著提高。
