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bu tong ru lu fa suo gu xia jing mai chuan ci de lin chuang guan cha
Author(s): 
Pages: 506-507
Year: Issue:  5
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  锁骨下静脉穿刺术;
Abstract: 目的:评价改良入路法用于临床锁骨下静脉穿刺置管的安全性和可行性.方法:选择各种需要行中心静脉置管病人 200例,随机分为两组,每组 100例, A组用改良入路法以右第 2肋与锁骨中线相交处作为穿刺点, B组用传统入路法以右锁骨中点下方 1 cm处作为穿刺点.观察记录总穿刺成功率、一次性穿刺成功率及并发症.结果:穿刺总成功率、一次穿刺成功率 A组比 B组明显增高,并发症 A组比 B组明显减少,两组比较差异有显著性 (P< 0.05).结论:改良入路法行锁骨下静脉穿刺置管具有操作定位准确容易、穿刺置管成功率高、并发症少的特点,与传统入路法比较,改良入路法更为安全、实用.
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