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本文介绍我院神经外科自１９８２年以来对长期昏迷的１３３例病人以颈外静脉穿刺，置管于锁骨下静脉为主的静脉输液方法。颅内某些疾病可造成病人长期昏迷。这些病人，其中某些病例由于胃肠功能紊乱、上消化道出血以及其它一些原因不能鼻饲、周围静脉输液又有一定困难，病人的液体、电解质及营养的补充就成为神经外科医护人员十分关注的问题。颈外静脉插管可以进行输血、输液，并可按照病人的需要给予静脉高营养治疗，保证病人的营养需求。由于昏迷病人排痰反射消失，容易引起肺内感染。发生肺内感染者又多需气管切开，本文对需做气管切开同时又需做颈外插管的病例进行分析，认为只要保证插管处的无菌操作，气管切开和颈外静脉插管均可长期保留。本文还对本组颈外静脉插管出现的一些情况进行了分析。
This article describes the Department of Neurosurgery in our hospital since 1982, long-term coma of 133 patients with external jugular vein catheterization of the subclavian vein-based intravenous infusion method. Certain intracranial diseases can cause long-term coma. Some of these patients, due to gastrointestinal disorders, upper gastrointestinal bleeding and other reasons can not nasal feeding, there are some difficulties surrounding the intravenous infusion, the patient’s fluid, electrolytes and nutritional supplements have become very concerned neurosurgeons problem. External jugular vein cannulation can be transfusions, infusion, and in accordance with the needs of patients given intravenous high nutritional therapy to ensure the nutritional needs of patients. Pulmonary reflex due to unconscious patients disappeared, easily lead to pulmonary infection. The occurrence of pulmonary infection and tracheostomy need more, this article needs to be done while tracheotomy cannula cases also need to be done, as long as the assurance of aseptic catheter intubation, tracheostomy and external jugular vein Can be long-term intubation. This article also on the group of external jugular vein cannulation some cases were analyzed.