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目的:观察前斜角肌前缘标志入路行锁骨下静脉穿刺置管的效果。方法:选择需行中心静脉置管患者40例,随机分为观察组和对照组各20例。观察组采用前斜角肌前缘标志入路,行锁骨下静脉穿刺置管;对照组采用经胸锁乳突肌三角顶点入路,行颈内静脉穿刺置管。比较两组穿刺置管的一次穿刺成功率、总成功率、失败率及并发症发生情况。结果:观察组穿刺置管一次成功率、总成功率显著高于对照组(P<0.05);失败率显著低于对照组(P<0.05)。观察组并发症发生率显著低于对照组(P<0.05)。结论:经前斜角肌前缘标志入路行锁骨下静脉穿刺置管成功率高、并发症少。
OBJECTIVE: To observe the effect of anterior hypothalamic leading sign on the subclavian vein catheterization. Methods: Forty patients who underwent central venous catheterization were randomly divided into observation group (20 cases) and control group (20 cases). In the observation group, the anterior scalene was used to mark the approach and the subclavian vein was punctured. In the control group, the apex of the sternocleidomastoid muscle was inserted and the internal jugular vein was punctured. The puncture success rate, total success rate, failure rate and complications of the two groups were compared. Results: The success rate of puncture and catheterization in the observation group was significantly higher than that of the control group (P <0.05). The failure rate was significantly lower than that of the control group (P <0.05). The incidence of complications in observation group was significantly lower than that in control group (P <0.05). CONCLUSION: The success rate of subclavian vein puncture and catheterization through the anterior scalene anterior landmark approach is high, with fewer complications.