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报告了小儿体外循环心内直视术中应用经皮动、静脉穿刺插管术50例的临床体会。对肥胖儿或不与合作的麻醉后小儿运用触摸法来确定颈内静脉穿刺的进针点,同时采用对静脉壁损伤小的12G针头作穿刺针后可避免形成局部大血肿。针对桡动脉穿刺插管的困难提出了解决办法。全部插管患儿均无严重并发症发生。提示该插管术在大手术和危重患儿的抢救中可积极采用。
Reported the clinical application of percutaneous arteriovenous puncture and intubation in 50 cases of open heart surgery under cardiopulmonary bypass in children. For obese children or not with the cooperation of anesthesia pediatric touch method to determine the jugular vein puncture needle point, while using small venous wall injury 12G needle for puncture needle to avoid the formation of local large hematoma. The solution to the difficulty of radial artery puncture and intubation was put forward. All patients with intubation no serious complications. Tip of the intubation in major surgery and rescue of critically ill children can be actively used.