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目的 比较长轴平面内、短轴平面外两种超声引导平面技术对肾综合征出血热患者颈内静脉穿刺置管效果及安全性的影响.方法 120例HFRS患者,随机为长轴组、短轴组,各60例,分别实施长轴平面内、短轴平面外超声引导颈内静脉穿刺置管,比较两组患者穿刺操作情况、并发症发生情况及治疗效果,分析两种方案的优缺点.结果 长轴组刺入目标血管时间、总穿刺时间、1次穿刺成功率高于短轴组,其穿刺次数低于短轴组(P＜0.05).长轴组、短轴组并发症发生率分别为11.67％、8.33％,组间比较差异无统计学意义(P＞0.05).结论 长轴平面内、短轴平面外两种超声引导平面技术均可保证HFRS患者治疗效果且安全性良好,长轴平面技术具有更高的穿刺成功率但穿刺时间较长,两种超声引导平面技术均存在改进空间.“,”Objective To comparative long axis plane and short axis plane two ultrasound guide plane technology in HFRS patients with internal jugular vein puncture set effect and safety of tube.Methods 120 cases of HFRS patients were selected and divided into long axis,short axis group,60 cases in each,respectively,the implementation of major axis plane and short axis plane ultrasound guided puncture of internal jugular vein catheterization,compared two groups of patients with puncture operation,complication and curative effect,analysis the advantages and disadvantages of the two schemes.Results The time of puncture,the total puncture time and the 1 puncture success rate were higher than that of short axis group,and the difference was statistically significant (P＜ 0.05).Conclusion Long axis plane and short axis plane two ultrasound guide plane technology can ensure the HFRS patient outcomes and safety of good,long axis plane technology with higher puncture success rate but puncture for a long time,the two kinds of ultrasonic guide plane technology have room for improvement.