Application of ultrasound-guided subclavian vein puncture via supraclavicular approach in craniocerebral surgery

YANG Ben; CHENG Zhi-kun; MA Qi-gang; LI Juan; WU Bai-shan

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Application of ultrasound-guided subclavian vein puncture via supraclavicular approach in craniocerebral surgery

更新时间：2022-06-24

- Application of ultrasound-guided subclavian vein puncture via supraclavicular approach in craniocerebral surgery
- null Issue 4, Pages: 328(2022)
- 作者机构：
  
  1. 六安市中医院麻醉科,安徽,六安,237000
  2. 中国科学技术大学附属第一医院麻醉科,安徽,合肥,230001
  3. 首都医科大学宣武医院疼痛科,北京,100053
- 作者简介：
- 基金信息：
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YANG Ben, CHENG Zhi-kun, MA Qi-gang, et al. Application of ultrasound-guided subclavian vein puncture via supraclavicular approach in craniocerebral surgery. [J]. null (4):328(2022)
DOI：

YANG Ben, CHENG Zhi-kun, MA Qi-gang, et al. Application of ultrasound-guided subclavian vein puncture via supraclavicular approach in craniocerebral surgery. [J]. null (4):328(2022) DOI：

摘要

目的探讨超声引导锁骨上入路锁骨下静脉（SCV）穿刺在颅脑手术中的应用效果。方法选择80例需要中心静脉置管的颅脑手术患者

随机分为锁骨下入路组（n=40）和锁骨上入路组（n=40）。记录2组SCV长轴图像超声定位时间；测量2组SCV长轴图像与探头的垂直距离；测量2组SCV的平均内径；记录2组穿刺时间、总穿刺次数、一次穿刺成功率、总穿刺成功率；记录2组误穿动脉、气胸等并发症的发生情况。结果与锁骨下入路组相比

锁骨上入路组SCV长轴图像超声定位时间更短（P<0.05）

SCV长轴图像与探头的垂直距离更短（P<0.05）

SCV的平均内径明显较长（P<0.05）

穿刺时间明显较短（P<0.05），总穿刺次数明显较少（P<0.05）

一次穿刺成功率明显较高（P<0.05）。2组总穿刺成功率及并发症发生率比较差异无统计学意义（P>0.05）。结论超声引导锁骨上入路SCV穿刺具有定位时间短、穿刺时间短、穿刺成功率高等优势

值得在颅脑手术中推广应用。

Abstract

关键词

超声引导锁骨下静脉锁骨上入路穿刺术颅脑手术

Keywords

ultrasonic guidancesubclavian veinsupraclavicular approachparacentesisbrainsurgery

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