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[经锁骨上和锁骨下途径行锁骨下静脉置管术。对105例患者的回顾性研究]

[Catheterization of the subclavian vein by the supra- and subclavicular routes. Retrospective study in 105 patients].

作者信息

Ritossa C, Pession F, Costa P, Sigaudo G, Morachioli N, Buniato E, Ferrero F, Enrichens F

出版信息

Minerva Anestesiol. 1980 Oct;46(10):1123-30.

PMID:7465075
Abstract

Central venous catheterisation via the supraclavicular and subclavicular route was performed in 61 and 44 cases respectively at the department's intensive therapy unit. A statistical assessment was made of the modalities of application, complications, time of indwelling, and reasons for removal. A large number of more serious complications (pneumothorax, haemothorax, arterial puncture) were noted with the supraclavicular technique, whereas subclavian catheterisation permitted longer residence times and was rarely responsible for serious disturbances, even though there were more instances of poor positioning. A preference is expressed for the second method. Mention is also made of employment of the internal jugular in recent cases, though these are not yet sufficiently numerous to enable any conclusions to be drawn.

摘要

在该科室的重症监护病房,分别有61例和44例患者通过锁骨上和锁骨下途径进行了中心静脉置管。对置管方式、并发症、留置时间及拔除原因进行了统计学评估。锁骨上技术出现了大量更严重的并发症(气胸、血胸、动脉穿刺),而锁骨下置管允许更长的留置时间,并且很少导致严重干扰,尽管定位不良的情况更多。更倾向于第二种方法。文中还提到了近期使用颈内静脉置管的情况,不过其数量还不足以得出任何结论。

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