Rogers F B
Department of Surgery, University of Vermont College of Medicine, Burlington 05405.
J Trauma. 1993 Jan;34(1):142-3.
The procedure described here for rapid venous access is simple, involves minimal dissection, and is highly reliable. Difficulty in defining the saphenous vein in the groin is alleviated by the forceful separation of the subcutaneous tissues, which invariably reveals the vein at the base of the wound. The only materials required are a scalpel, surgical ties, and IV tubing. In cases of traumatic exsanguination surgical residents were able to achieve IV access within a minute or less. The disadvantage of this technique is that it requires a long incision.
这里所描述的快速建立静脉通路的操作简单，仅需极少的解剖分离，且高度可靠。通过强力分离皮下组织可减轻在腹股沟区确定大隐静脉的难度，这总能在伤口底部显露该静脉。仅需用到手术刀、手术缝线和静脉输液管。在外伤性失血的病例中，外科住院医师能够在一分钟或更短时间内成功建立静脉通路。该技术的缺点是需要做一个长切口。
