CAJ | 학술논문

目的：比较两种穿刺入路方式中心静脉置管术在危重症抢救中的应用，寻求适用于危重症患者抢救中最优的中心静脉置管入路方式。方法回顾性分析2008年3月至2013年3月我中心900例危重抢救患者中心静脉置管术临床资料，其中采取颈内静脉穿刺入路方式420例，锁骨下静脉穿刺入路方式480例，通过对两种穿刺入路方式中心静脉置管术在快速穿刺成功率及穿刺相关并发症发生率方面进行分析比较。结果一针穿刺成功率：颈内静脉穿刺入路方式336例(80%)；锁骨下静脉穿刺入路方式456例(95%)；穿刺相关并发症发生率：颈内静脉穿刺入路方式69例(16.4%)，锁骨下静脉穿刺入路方式20例(4.2%)。结论在危重症抢救中锁骨下静脉穿刺入路方式中心静脉置管术在快速穿刺成功率及穿刺相关并发症发生率方面优于颈内静脉穿刺入路方式。
목적：비교량충천자입로방식중심정맥치관술재위중증창구중적응용，심구괄용우위중증환자창구중최우적중심정맥치관입로방식。방법회고성분석2008년3월지2013년3월아중심900례위중창구환자중심정맥치관술림상자료，기중채취경내정맥천자입로방식420례，쇄골하정맥천자입로방식480례，통과대량충천자입로방식중심정맥치관술재쾌속천자성공솔급천자상관병발증발생솔방면진행분석비교。결과일침천자성공솔：경내정맥천자입로방식336례(80%)；쇄골하정맥천자입로방식456례(95%)；천자상관병발증발생솔：경내정맥천자입로방식69례(16.4%)，쇄골하정맥천자입로방식20례(4.2%)。결론재위중증창구중쇄골하정맥천자입로방식중심정맥치관술재쾌속천자성공솔급천자상관병발증발생솔방면우우경내정맥천자입로방식。
Objective To compare two kinds of puncture approach ways of central vein catheterization in the critically ill rescue application, in the way of central vein to seek for optimal rescue critically ill patients. Methods A retrospective analysis from 2008 March to 2013 year in March 900 cases of critically ill patients in our center of central venous catheterization patients clinical data, which take the internal jugular vein puncture approach in 420 cases, puncture of subclavian vein approach in 480 cases, based on the two kinds of puncture approach ways of central vein catheterization occurred in quick puncture success rate and puncture related complications rate analysis. Results The success rate of puncture of internal jugular vein puncture ap-proach: 336 cases (80% ); puncture of subclavian vein approach in 456 cases (95% ); the incidence rate of puncture related complications: internal jugular vein puncture approach in 69 cases (16. 4% ), puncture of subclavian vein in 20 cases (4. 2% ). Conclusion In critically ill patients subclavian vein puncture approach ways of central vein catheterization rate is better than that of internal jugular vein puncture approach in fast puncture success rate and puncture related complications.