在急诊室或创伤治疗中心对严重创伤病人使用中心静脉插管(CVC)仍存在争论。经美国创伤外科委员会批准的“严重创伤抢救方案”建议:为了迅速和安全地建立静脉通路,使用大口径周围静脉穿刺或静脉切开,不主张经皮插入CVC、因为有发生威胁生命并发症的危险。文献中没有详细报道创伤病人中心静脉插管的安全性和并发症率。本文回顾性研究269例创伤病人在抢救期间紧急CVC,均使用Seldinger 技术。由急诊医师通过颈内静脉或锁骨 There is still debate about the use of central venous catheterization (CVC) in severely trauma patients at the emergency department or trauma center. The “Severe Trauma Program” approved by the U.S. Department of Traumatic Surgeons recommends that large-diameter peripheral venipuncture or phlebotomy is not recommended for percutaneous insertion of CVCs for rapid and safe establishment of venous access because of the risk of life-threatening complications Danger. The safety and complication rates of central venous cannulation in trauma patients are not reported in detail in the literature. This retrospective study of 269 cases of trauma patients during emergency rescue CVC, using Seldinger technology. Go through the jugular vein or clavicle by an emergency doctor