中心静脉置管临床应用202例体会

Clinical application of central venous catheterization:A report of 202 cases

Objective:Central venous catheterizations was performed in 202 clinical cases for comparing the different kinds of catheter,venous pathway and methods of catheterization,as guide for clinical practice.Methods:Different kinds of catheter were used silica gel tube,cannula ARROW or BRAUN.Veins chosen for insertion were subclavian vein,internal jugular vein or external jugular vein.The methods used for catheterization were those of Li Jieshou and Jiang Zhuming.Results:Success rate was 100% in internal jugular vein,88% in subclavian vein.Complication occurred in 19 cases and most of them were due to obstruction of catheters.21 catheters of ARROW and BRAUN were X rayed and their positions were normal.Conclusion:The best catheter is the one made of polyurethane.Subclavian vein is of first choice.In case of puncture failures,arterial pulse and ultrasonic detection can be used to guide the puncture or change for internal jugular vein.