Bauer H, Welsch K H
MMW Munch Med Wochenschr. 1976 Apr 30;118(18):567-72.
In order to be able to carry out effective emergency medicine outside the hospital, knowledge of some of the important puncture techniques is essential. Sometimes injection and infusion is required under difficult conditions, and sometimes decompression punctures are the vitally decisive interventions. Among these are central venous access via the subclavian vein, intracardial injection, decompression puncture in cardiac tamponade, relief of tension pneumothorax, cannulation of the trachea and relief of mediastinal emphysema. These interventions are outlined according to indication, technique and complications.
为了能够在院外开展有效的急救医学，掌握一些重要的穿刺技术知识至关重要。有时需要在困难条件下进行注射和输液，有时减压穿刺则是至关重要的决定性干预措施。其中包括经锁骨下静脉进行中心静脉置管、心内注射、心脏压塞时的减压穿刺、张力性气胸的缓解、气管插管以及纵隔气肿的缓解。这些干预措施将根据适应症、技术和并发症进行概述。
