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[锁骨下静脉走行方向及横断面随肩部位置的变化]

[Direction of the course and changes in the cross-section of the subclavian vein depending on the positions of the shoulder].

作者信息

Anderhuber F

出版信息

Morphol Med. 1982 Feb;2(1):21-8.

PMID:7177136
Abstract

Dental mold material was injected into the right subclavian veins of 10 human cadavers presenting six different positions of the right shoulder. By means of the so produced preparations the position of the subclavian vein was defined precisely in relation to the frontal plane. Besides that the direction of the first rib's groove for the subclavian vein was determined in 10 skeletons. The subclavian vein swerves slightly anterior arching over the first rib in an acute angle to the frontal plane. Cross sections of the preparations mentioned above were made and used for prints; thus the changes of the lumen in different shoulder positions could be clearly perceived. If the shoulder is lifted or pushed forward the subclavian vein expands; in upward-forward position of the shoulder the vein gains its maximum width. If the shoulder is lowered the subclavian vein is slightly constricted; if the shoulder is pushed back the vein is compressed to a minimum width. The significance of these: facts in regard to subclavian vein catheterization is discussed.

摘要

将牙科模型材料注入10具呈现右肩六种不同位置的人体尸体的右锁骨下静脉。借助如此制作的标本,锁骨下静脉的位置相对于额平面被精确界定。除此之外,在10具骨骼中确定了第一肋骨上锁骨下静脉沟的方向。锁骨下静脉在前方向上略有弯曲,以锐角跨过第一肋骨与额平面相交。制作上述标本的横截面并用于打印;由此可以清楚地观察到不同肩部位置时管腔的变化。如果肩部抬起或向前推,锁骨下静脉会扩张;在肩部向前上方位置时,静脉获得最大宽度。如果肩部下降,锁骨下静脉会略有收缩;如果肩部向后推,静脉会被压缩至最小宽度。讨论了这些事实在锁骨下静脉插管方面的意义。

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