CAJ | 학술논문

目的通过与体表解剖标志定位法比较,评价超声引导右锁骨下静脉穿刺置管的效果.方法选择消化道肿瘤切除术病人120例,ASAⅡ或Ⅲ级,随机分为2组(n=60):体表解剖标志组(AL组)依据体表解剖标志定位,引导右锁骨下静脉穿刺置管;超声组(US组)使用便携式彩超定位,引导右锁骨下静脉穿刺置管.两组均于气管插管前进行穿刺置管.记录穿刺时间、穿刺成功情况和并发症的发生情况.结果 US组全部穿刺成功,AL组有1例穿刺失败.与AL组比较,US组首次穿刺成功率高,穿刺时间短,穿刺部位血肿、气胸和误穿动脉的发生率低(P<0.05).结论超声引导行右锁骨下静脉穿刺定位准确,成功机率高,并发症少,其效果优于体表解剖标志定位法.
목적 통과여체표해부표지정위법비교,평개초성인도우쇄골하정맥천자치관적효과.방법 선택소화도종류절제술병인120례,ASAⅡ혹Ⅲ급,수궤분위2조(n=60):체표해부표지조(AL조)의거체표해부표지정위,인도우쇄골하정맥천자치관;초성조(US조)사용편휴식채초정위,인도우쇄골하정맥천자치관.량조균우기관삽관전진행천자치관.기록천자시간、천자성공정황화병발증적발생정황.결과 US조전부천자성공,AL조유1례천자실패.여AL조비교,US조수차천자성공솔고,천자시간단,천자부위혈종、기흉화오천동맥적발생솔저(P<0.05).결론 초성인도행우쇄골하정맥천자정위준학,성공궤솔고,병발증소,기효과우우체표해부표지정위법.
Objective The study was designed to compare the ultrasound-guided technique for the cannulation of subclavian vein with the traditional technique using anatomic landmarks.Methods One hundred and twenty ASA Ⅱ or Ⅲ patients undergoing cannulation of subclavian vein before gastrp-intestinal tumor resection were randomly divided into 2 groups (n=60 each) according to the technique used for cannulation:ultrasound-guided group (group US) and anatomic landmark group (group AL).The puncture time,successful puncture and complications were recorded.Resulls The success rate was 100% in group US;while the cannulation failed in one patient in group AL.The rate of successful puncture at 1st attempt was 100% in group US but ouly 90% in group AL.The cannulation time was significantly shorter in group US than in group AL.The incidence of accidental puncture of subclavian artery,hematoma and pneumothorax was significantly higher in group AL than in group US.Conclusion The ultrasound-guided catheterization of the subclavian vein is superior to the landmark technique.