Janjić I
Acta Chir Iugosl. 1983;30(2):259-63.
To introduce a caval catheter means especially in the hands of a beginner, a certain number of potentially dangerous complications. Due to that the way of its application is a subject of further perfectioning. The puncture of anonymous vein is an innovation, thanks to the technical development of a necessary equipment such as a catheter which is introduced by a Seldinger technique, at the typical place over the clavicula, as the catheter is long only 12 cm. (for the right side); the x-ray control is necessary to exclude event. pneumothorax. Experience over a 75 patients is presented, in 6 of whom it was not possible to puncture the anonymous vein, in another 6% there was a puncture of the artery. The catheter has been left 8 days in average for infusion therapy, transfusion and measurement of C. V. P., and for taking blood samples. On the basis of this experience it can be concluded that this treatment can have the clinical application.
插入腔静脉导管，尤其对于初学者而言，意味着一定数量潜在的危险并发症。正因如此，其应用方式仍是进一步完善的课题。无名静脉穿刺是一项创新，这得益于必要设备的技术发展，例如采用Seldinger技术在锁骨上方典型位置插入的导管，该导管长度仅12厘米（右侧用）；需要X线检查以排除气胸等情况。本文介绍了75例患者的经验，其中6例无法穿刺无名静脉，另有6%发生了动脉穿刺。导管平均留置8天用于输液治疗、输血及测量中心静脉压和采集血样。基于这一经验可以得出结论，这种治疗方法具有临床应用价值。
