[1]乔海峰,刘金柱,章艳君.两点超声定位法在幼儿行颈内静脉穿刺置管术中的 临床应用[J].医学信息,2019,32(12):122-124.[doi:10.3969/j.issn.1006-1959.2019.12.040]
　QIAO Hai-feng,LIU Jin-zhu,ZHANG Yan-jun.Clinical Application of Two-point Ultrasound Localization in the Treatment of Jugular Vein Catheterization in Children[J].Journal of Medical Information,2019,32(12):122-124.[doi:10.3969/j.issn.1006-1959.2019.12.040]
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两点超声定位法在幼儿行颈内静脉穿刺置管术中的 临床应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年12期
页码:
122-124
栏目:
临床研究
出版日期:
2019-06-15

文章信息/Info

Title:
Clinical Application of Two-point Ultrasound Localization in the Treatment of Jugular Vein Catheterization in Children
文章编号:
1006-1959（2019）00-0122-03
作者:
乔海峰; 刘金柱; 章艳君
天津市儿童医院麻醉科，天津 300134
Author(s):
QIAO Hai-feng; LIU Jin-zhu; ZHANG Yan-jun
Department of Anesthesiology,Tianjin Children's Hospital,Tianjin 300134,China
关键词:
颈内静脉穿刺置管术; 超声定位; 体表标志
Keywords:
Key words：Internal jugular vein catheterization; Ultrasound localization; Body surface marker
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2019.12.040
文献标志码:
A
摘要:
目的 比较两点超声定位法在幼儿行颈内静脉穿刺置管术中的临床效果。方法 选取2017年10月~2019年1月于我院行择期手术且需颈内静脉穿刺的患儿80例，随机分为实验组和对照组，各40例。实验组行两点超声定位，对照组行体表标志，比较两组一次穿刺成功率，总成功率，误穿动脉，血肿、气胸等并发症发生率。结果 实验组一次穿刺成功率及总成功率（87.50% vs 100.00%）均高于对照组（62.50% vs 82.50%），差异有统计学意义（P＜0.05）；实验组并发症发生率为0，低于对照组的12.50%，差异有统计学意义（P＜0.05）。结论 超声两点定位法可有效提高幼儿行颈内静脉穿刺置管成功率，降低误穿动脉或局部血肿的发生，具有较高的临床应用价值。
Abstract:
Abstract：Objective To compare the clinical effects of two-point ultrasound localization in the treatment of jugular vein catheterization in children. Methods 80 children with elective internal jugular vein puncture in our hospital from October 2017 to January 2019 were randomly divided into experimental group and control group, 40 cases each. The experimental group underwent two-point ultrasound localization, and the control group performed the body surface markers, comparing the success rate of one puncture, total success rate, arterial incision, hematoma, pneumothorax and other complications. Results The success rate and total success rate (87.50% vs 100.00%) of the experimental group were higher than those of the control group (62.50% vs 82.50%), the difference was statistically significant (P<0.05). The complication rate of the experimental group was 0 , which was lower than 12.50% of the control group,the difference was statistically significant (P<0.05). Conclusion Ultrasound two-point positioning method can effectively improve the success rate of jugular vein catheterization in children, reduce the occurrence of miscarriage of arteries or local hematoma, and has high clinical application value.

参考文献/References:

[1]López Alvarez JM,Pérez Quevedo O,Ramírez Lorenzo T,et al.Ultrasound-guided vascular cannulation.Experience in critically-ill pediatric patients[J].Arch Argent Pediatr,2018,116(3):204-209. [2]Gao YB,Yan JH,Ma JM,et al.Effects of long axis in-plane vs short axis out-of-plane techniques during ultrasound-guided vascular access[J].Am J Emerg Med,2016,34(5):778-783. [3]Karaaslan P,Darcin K,Ormeci T,et al.Effects of varying entry points and trendelenburg positioning degrees in internal jugular vein area measurements of newborns[J].Niger J Clin Pract,2018,21(4):514-518. [4]中华医学会麻醉学分会.中国麻醉学指南与专家共识[M].北京:人民卫生出版社,2014:18. [5]Borasino S,Diaz F,El Masri K,et al.Central venous lines are a risk factor for chylothorax in infants after cardiac surgery[J].World J Pediatr Congenit Heart Surg,2014,5(4):522-526. [6]朱学芳,王洁,姚盛来,等.两点超声定位法在左颈内静脉穿刺术中的应用体会[J].福建医药杂志,2017,39(1):118-120. [7]罗超,权哲峰,池萍,等.超声中线定位方法用于颈内静脉穿刺置管术的临床研究[J].临床麻醉学杂志,2015,31(4):329-331. [8]赵柏松,孟凌新,邢准,等.超声引导在患儿颈内静脉穿刺置管中的应用[J].临床麻醉学杂志,2012,28(9):891-893. [9]Schurnmer W,Koditzl JA,Schelenzl C,et al.Pre-procedure ultrasound increases the success and safety of central venous catheterization[J].Br J Anaesth,2014,113(1):122-129.

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更新日期/Last Update: 2019-06-15