一种以囊性感为定点的新颈内静脉穿刺法的临床评价

目的探讨以囊性感为定点进路的一种新的颈内静脉穿刺入路法的安全性、有效性。方法选择全身麻醉患者100例,随机分为两组,Ⅰ组50例以囊性感为定点进路穿刺;Ⅱ组50例采用高位前路颈内静脉穿刺。观察记录两组总体成功率、一次穿刺成功率、并发症。结果总成功率Ⅰ组98.00%与Ⅱ组94%差异无统计学意义（P〉0.05）,一次穿刺成功率Ⅰ组84.00%比Ⅱ组60.00%高（P〈0.01）;Ⅱ组误穿动脉1例,两组均无气胸、血胸等严重并发症。结论以囊性感为定点进路的颈内静脉穿刺术,具有定位容易、穿刺成功率高、安全等特点,有实际应用价值。

A new safe and effective localization for internal jugular vein puncture through the sense of cystose

Objective To explore a new safe and effective way for internal jugular vein puncture.Methods 100 patients of general anesthesia were randomly allocated into two groups,group Ⅰ included 50 patients with the sense of cystose,group Ⅱ included 50 patients with internal jugular vein cannulation.Total success rate,first attempt success rate of cannulation,complications were observed and recorded.Results Total success rates of groupsⅠand group Ⅱ were 98.00%,93.33% respectively(P>0.05).First attempt success rates of groupsⅠand group Ⅱ were 84.00%,60.00% respectively(P<0.01).In group Ⅱ,there was one example of perforated artery by mistakes.Neither of two group had serious complications,such as pneumatothorax or haematothorax,ect.Conclusion New method of internal jugular vein puncture has the characteristics including easy location,high puncture success rate and safety.It is one of the most applicative and valuable methods.