CAJ | 학술논문

目的：探讨内科急危重患者为进行静脉营养，休克救治及中心静脉压监测，肿瘤的系统化疗，建立静脉通路最佳方法选择与术后护理。方法：42例中选择锁骨下静脉置管术11例，选择腋静脉末端置管术31例。结果：术后经X检查，导管前端到达上腔静脉39例，到位率为92.8％，到达颈内静脉3例(占7.14％)，无气胸、血胸、空气栓塞等并发症。结论：内科危重症患者及肺心病、肺癌、脓胸、扩张型心肌病建立静脉通道可选用腋静脉末端穿刺置管，具有创伤小，并发症低，成功率易于掌握等优点。且为内科危重症和抢救、癌肿化疗、营养支持提供简捷通道。
목적：탐토내과급위중환자위진행정맥영양，휴극구치급중심정맥압감측，종류적계통화료，건립정맥통로최가방법선택여술후호리。방법：42례중선택쇄골하정맥치관술11례，선택액정맥말단치관술31례。결과：술후경X검사，도관전단도체상강정맥39례，도위솔위92.8％，도체경내정맥3례(점7.14％)，무기흉、혈흉、공기전새등병발증。결론：내과위중증환자급폐심병、폐암、농흉、확장형심기병건립정맥통도가선용액정맥말단천자치관，구유창상소，병발증저，성공솔역우장악등우점。차위내과위중증화창구、암종화료、영양지지제공간첩통도。
Objective: To establish a suitable central vena catheterization method to administer the vena nutrition,CVP monitoring and systematic chemotherapy of tunors in critical patients.Methods:Of 42 cases,ll ones were administered the catheterization through subclavian venae while 31 ones through the terminal of axillary venae.Results:The X-ray proves that the catheters in 39 cases reach vena cava superior with 92.8% of arrival rate and the catheters in three cases arrive at vena jugularis with 7.14% of arrival rate after the operation. No pneumothorax,hemothorax,air embolism and other complications were found.Conclusion:The catheterization through the terminals of axillary venae was recommmended in cor pulmonale, lung cancer, chest abscess and enlarged myocardiopathy, which is easy to be mastered and feasible to get a high successful rate without much wound and complications.It is proved to be a simple passage to do chemotherapy and venous nutrition.