CAJ | 학술논문

目的：熟悉锁骨下静脉的局部解剖结构，熟练掌握SVC的操作方法和技能，提高穿刺成功率。方法回顾性分析我院2010年3月至2014年3月接受SVC的600例住院患者(男410例，女190例)的临床资料。结果成功穿刺582例，穿刺成功率为97%。其中1次穿刺成功546例(91%)，重复穿刺或改颈内静脉或其它穿刺38例(6.3%)，失败16例(2.7%)。发生并发症22例(3.7%)，其中误入动脉8例(1.3%)，气胸3例(0.5%)，导管尖端导入颈内静脉5例(0.8%)，导管相关感染2例(0.3%)，导管堵塞2例(0.3%)，心律失常2例(0.3%)。结论SVC简单易学，安全可靠，成功率高，并发症少，导管保留时间较长，是一种较好的中心静脉穿刺方法，值得在临床推广使用。
목적：숙실쇄골하정맥적국부해부결구，숙련장악SVC적조작방법화기능，제고천자성공솔。방법회고성분석아원2010년3월지2014년3월접수SVC적600례주원환자(남410례，녀190례)적림상자료。결과성공천자582례，천자성공솔위97%。기중1차천자성공546례(91%)，중복천자혹개경내정맥혹기타천자38례(6.3%)，실패16례(2.7%)。발생병발증22례(3.7%)，기중오입동맥8례(1.3%)，기흉3례(0.5%)，도관첨단도입경내정맥5례(0.8%)，도관상관감염2례(0.3%)，도관도새2례(0.3%)，심률실상2례(0.3%)。결론SVC간단역학，안전가고，성공솔고，병발증소，도관보류시간교장，시일충교호적중심정맥천자방법，치득재림상추엄사용。
Objective To study the local anatomic structure of subclavian vein and have a good command of operating methods and skills on subclavian vein catheterization (SVC) so as to improve the success rate of puncture. Methods Retrospectively analyze the clinical data of 600 cases of hospitalized patients who have had SVC (male 410, female 190) in our hospital from March 2010 to March 2014. Results There were 582 cases (97%) of successful puncture,including 546 cases (91%) of one-time puncture success,38 cases (6. 3%) of repeated puncture or other types of puncture,and 16 cases (2. 7%) of failed puncture. Postoperative complications occurred in 22 patients (3. 7%),including 8 cases (1. 3%) of strayed into the artery,3 cases (0. 5%) of pneumothorax,5 cases (0. 8%) of catheter tip into the internal jugular vein,2 cases (0. 3%) of catheter related infection,2 cases (0. 3%) of catheter blockage,and 2 cases (0. 3%) of arrhythmia. Conclusion SVC is easy,safe and reliable,and it is of high success rate and less complications. Catheter retention time of SVC is longer. From the above,SVC is a good central venous puncture method which is worth of popularizing in clinical use.