Dvorák J
MMW Munch Med Wochenschr. 1975 May 9;117(19):823-6.
Among the methods for intramuscular injection, Hochstetters technique into the gluteus medius muscle is anatomically sound, but there are a few practical defects which make it difficult to perform. The method we describe has been tested and is simpler. Anatomical orientation is easier, vessels and nerves are not endangered, asepsis is better guaranteed, and the injection can be given with the patient in any position, even lying down. Instead of Hochstetters method of injecting into the vastus lateralis muscle, in which three connecting lines must be drawn mentally, we use our simple method: the injection is given in the middle third of the thigh, dorsal to a line joining the anterior superior iliac spine and the lateral border of the patella.
在肌内注射方法中,霍赫施泰特(Hochstetter)提出的注入臀中肌的技术在解剖学上是合理的,但存在一些实际缺陷,导致其难以实施。我们所描述的方法已经经过测试,且更为简单。解剖定位更容易,血管和神经不会受到危及,无菌操作能得到更好的保证,并且无论患者处于何种体位,甚至是卧位时都可以进行注射。我们采用简单的方法,取代了霍赫施泰特注入股外侧肌的方法,后者需要在脑海中画出三条连接线,而我们的方法是:在大腿中三分之一处进针,进针点位于连接髂前上棘和髌骨外侧缘的连线后方。