[我们在儿童锁骨下静脉插管过程中的经验（作者译）]

[Our experiences during cannulation of the subclavian vein in children (author's transl)].

作者信息

Baer G, Inberg P, Kassila M, Väyrynen T, Baer M

出版信息

Anaesthesist. 1981 Jun;30(6):293-6.

Abstract

With 260 children under 12 years of age we tried to cannulate the subclavian vein during 3 years 455 times, and were successful 391 times (85.9%). 43.8% of the patients were younger than 1 year. The success rate correlated to the childrens' bodyweight and was less with lower weight of the patients. - In 68.8% of the cases we found the tip of the cannula in the upper caval vein, 19.9% were in the internal jugular vein, and 6.1% were in the opposite subclavian vein. - In this study participated 7 members of the staff and 8 specializing doctors; catheterizations per participant, mean = 30,2, SD 21,49, minimum 6, maximum 65. - Cannulas functioned for 5 +/- 2, max. 19 days. - The most serious complications were 2 pneumo- and one pneumo-hydrothorax, 2 times suspicion of thrombosis and 1 hemorrhage due to a not known hemophilia. None of the complications caused therapeutical problems.

摘要

我们对260名12岁以下儿童进行了3年共455次锁骨下静脉置管尝试，成功391次（成功率85.9%）。43.8%的患者年龄小于1岁。成功率与儿童体重相关，患者体重越低成功率越低。- 68.8%的病例中导管尖端位于上腔静脉，19.9%位于颈内静脉，6.1%位于对侧锁骨下静脉。- 本研究有7名工作人员和8名专科医生参与；每位参与者的置管次数，平均=30.2次，标准差21.49次，最少6次，最多65次。- 导管使用时长为5±2天，最长19天。- 最严重的并发症为2例气胸和1例血气胸，2次疑似血栓形成，1例因不明血友病导致的出血。所有并发症均未引发治疗问题。