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锁骨下静脉走行方向存在着个体差异已为人们所了解,但在临床施行锁骨下静脉穿刺时多忽略个体差异,均按同一方法操作,难免影响成功率。作者在研究X线造影下锁骨下静脉走行方向的基础上,对锁骨下入路的锁骨下静脉穿刺方向提出新的改进建议。方法:对选择性上肢手术61例先做右侧锁骨下静脉造影,在X线片上画出实际锁骨下静脉穿刺操作时具有代表性的两个方向,即锁骨下缘中点至胸骨上端连线(A线)锁骨内侧1/3至胸骨上端连线
Individual differences in the direction of the subclavian vein has been known, but in the clinical implementation of subclavian vein puncture more neglected individual differences, are operated in the same way, will inevitably affect the success rate. Based on the study of the direction of the subclavian vein under X-ray angiography, the author proposed new improvements on the direction of the subclavian vein puncture under the subclavian approach. Methods: 61 cases of selective upper extremity surgery done first right subclavian vein angiography on the X-ray film drawn the actual subclavian vein puncture operation representative of the two directions, that is, the middle point of the lower edge of the clavicle to the upper sternal line (A line) medial clavicle 1/3 to the upper sternal connection