Bambauer R, Jutzler G A
Neth J Surg. 1983 Dec;35(5):178-83.
Our experience with catheterization, mainly of the internal jugular vein, using a large-bore catheter (Shaldon catheter) with 279 patients and a total of 359 catheter placements, is reported. The subclavian vein was used for vascular access in 57 additional patients (80 catheters) and the femoral vein in four patients (six catheters). Percutaneous puncture of the jugular, subclavian and femoral veins in a total of 340 patients (445 catheters) was necessary for emergency hemodialysis, hemofiltration, hemoperfusion, plasmapheresis or, in the case of patients on regular hemodialysis, for temporary vascular access while awaiting the availability of another access site. Complications were less frequent with the internal jugular point of entry than with others, based on our experience and the literature published. Cannulation of the superior vena cava through the internal jugular vein therefore appears to be a most appropriate route for rapid vascular access when emergency extracorporeal blood treatment is required.
本文报告了我们使用大口径导管（Shaldon导管）主要经颈内静脉进行插管的经验，涉及279例患者，共进行了359次导管置入。另有57例患者（80次导管置入）采用锁骨下静脉作为血管通路，4例患者（6次导管置入）采用股静脉。在总共340例患者（445次导管置入）中，经皮穿刺颈静脉、锁骨下静脉和股静脉用于紧急血液透析、血液滤过、血液灌流、血浆置换，或者对于定期进行血液透析的患者，在等待另一个血管通路可用时用于临时血管通路。根据我们的经验和已发表的文献，颈内静脉穿刺点的并发症比其他部位少。因此，当需要进行紧急体外血液治疗时，经颈内静脉插管至上腔静脉似乎是快速建立血管通路的最合适途径。
