改良颈外静脉穿刺法在急诊病人急救中的应用

目的：比较两种颈外静脉穿刺置管法在急诊危重病人抢救中的应用效果，探求一种更有效、更快捷、更安全的静脉输液途径。方法：随机抽取2010~2014年急诊抢救室行颈外静脉穿刺置管的患者，将2010年1月~2012年1月采用常规颈外静脉穿刺法的45例患者设为常规组，将2012年2月~2014年2月采用负压逆向颈外静脉穿刺法的50例患者设为改良组，回顾性比较两组颈外静脉穿刺法的穿刺成功率。结果：改良组的穿刺成功率（94%）远远超过常规组穿刺成功率(71.11%)。两组比较差异有显著统计学意义（P<0.05）。结论：改良后的颈外静脉穿刺法穿刺成功率较高，值得在临床推广。

The emergency aid application of improved external jugular vein puncture in critically ill patients

Objective:To compare the applicated effect by two ways of external jugular vein puncture in rescuing critical patients in emergency department, we can explore a more effective and safer means of intravenous infusion. Methods:This study contrasted the success rate between conventional group including 45 patients who recept external jugular vein puncture from 2010 January to 2012 January and improved group including 50 case from 2012 February to 2014 February.Results:The success rate of puncture in improved group was 94%,and much more than that in the conventional group, which was 71.11%.There was significant difference between two groups ( P<0.05).Conclusion:The success rate of external jugular vein puncture in improved group was higher,it was worth in clinical promotion.