422例锁骨下中心静脉穿刺置管术并发症临床分析

目的 分析、探讨锁骨下中心静脉穿刺置管术并发症和改进技术.方法 对2001年1月～2007年5月422例应用锁骨下中心静脉穿刺置管术患者进行回顾性分析,研究相关的并发症和技术问题.结果 422例锁骨下中心静脉穿刺置管术总并发症发生率为6.40%,其中局部渗血、血肿8例(1.90%),误穿动脉6例(1.42%),气胸3例(0.71%),局部红肿感染5例(1.18%),心律失常2例(0.47%).结论 锁骨下中心静脉穿刺置管术具有一定的风险,需从多方面、多环节分析原因,预防并发症的发生.

Clinical analysis on complications of subclavian central venus catheterization in 422 cases

Objective To analyse and explore the complications of subclavian central venus catheterization and the way of skill improvement.Methods Four hundred and twenty-two patients undergone subclavian central venus catheterization in our hospital from January 2001 to May 2007 were analyzed retrospectively for studying correlative complications and technology.Results All kinds of complications occurred in 27 cases(6.40%),including 8 cases of local hemorrhage and hematoma(1.90%),6 cases of puncturing the artery by mistake(1.42%),3 case of pneumothorax(0.71%),5 cases of partial inflammation and infection(1.18%),2 case of arrhythmia(0.47%).Conclusion Subclavian central venus catheterization has certain risk,more attention should be paid to prevent from the occurrence of complications in various ways.