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目的探讨经锁骨上行锁骨下静脉穿刺置管术在重度烧伤患者中的应用效果。方法对2005年6月～2010年6月我院收治的320例重度烧伤以锁骨为标志定位穿刺点和穿刺方向,经锁骨上行锁骨下静脉穿刺置管,观察置管效果。结果 196例一次穿刺成功,124例通过逐步增加冠状面角度后穿刺成功,5例穿刺3或4次后成功。均无因穿刺而出现血肿、气胸、神经损伤等并发症。结论对重度烧伤患者应用经锁骨上行锁骨下静脉穿刺置管术成功率高,并发症少。
Objective To investigate the effect of supraclavicular subclavian vein catheterization in severe burn patients. Methods 320 cases of severe burn treated in our hospital from June 2005 to June 2010 were located at the puncture point and puncture direction marked by the clavicle, and the catheterization effect was observed through the supraclavicular subclavian vein puncture catheter. Results A total of 196 cases were successfully punctured at a time. 124 cases were successfully punctured by gradually increasing the angle of the coronal plane, and 5 cases succeeded in puncturing three or four times. No puncture and hematoma, pneumothorax, nerve injury and other complications. Conclusion The application of supraclavicular subclavian vein catheterization in severe burn patients has high success rate and few complications.