| 经胸前区腋静脉穿刺置管的临床探讨 |
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| 引用本文： | 李义贤,林志强,李喜荣,吴安宏.经胸前区腋静脉穿刺置管的临床探讨[J].临床麻醉学杂志,2004,20(1):24-25. |
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| 作者姓名： | 李义贤 林志强 李喜荣 吴安宏 |
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| 作者单位： | 515041,汕头市,汕头大学医学院肿瘤医院麻醉科 |
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| 基金项目： | 汕头市 2 0 0 3年度重点科技计划项目 [汕府科 ( 2 0 0 3 ) 119号] |
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| 摘 要： | 目的 探讨经胸前区腋静脉穿刺置管的安全性及临床应用价值。方法 600例全身麻醉及硬膜外腔麻醉的手术病人，其中550例行右侧腋静脉穿刺置管，50例行左侧腋静脉穿刺置管。结果 经胸前区腋静脉穿刺置管成功率为99％。误穿腋动脉2例，经局部压迫未造成血肿。结论 经胸前区腋静脉穿刺置管法，操作容易、成功率高、并发症少，为中心静脉穿刺提供新途径，值得在临床推广应用。
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| 关 键 词： | 腋静脉 穿刺 置管 解剖位置 并发症 |
| 修稿时间： | 2003年6月8日 |
Clinical study on intubation by anterior thoracic wall axillary venipuncture |
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| Li Yixian,Lin Zhiqiang,Li Xirong,et al..Clinical study on intubation by anterior thoracic wall axillary venipuncture[J].The Journal of Clinical Anesthesiology,2004,20(1):24-25. |
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| Authors: | Li Yixian Lin Zhiqiang Li Xirong |
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| Institution: | Li Yixian,Lin Zhiqiang,Li Xirong,et al. Anesthetic Department,Cancer Hospital,Shantou University Medical College,Shantou 515041 CHINA |
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| Abstract: | Objective To evaluate the reliability and clinical implement of intubation by anterior thoracic wall axillary venipuncture(IATAV).Methods Six hundred patients with general or epidural space anesthesia received IATAV,550 of them on the right side and the other 50 on the left side. Results IATAV was successful in 99% of the patients.The only complication was mistake stabbing of axillary artery in 2 cases,which did not cause hematom after local compression.There were no pneumothorax,hemothorax or brachial nerve injury.Conclusion IATAV is easy to do,highly successful and less complication.It is a feasible new method for central vein puncture.Clinical application broadly is warranty. |
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| Keywords: | Axillary vein Puncture Intubation Complication |
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