Clinical observation of Zhang point in the subclavian vein puncture

VernacularTitle:张氏点在锁骨下静脉穿刺术中应用的临床观察
Author: Weilin SHEN ; Weimin ZHANG ; Rongqing SUN
Publication Type:Journal Article
Keywords: Subclavian vein; Punctures; Retrospective studies; Zhang point
From: Chinese Journal of Postgraduates of Medicine 2016;39(7):638-639,642
CountryChina
Language:Chinese
Abstract: Objective To observe the clinical effect of Zhang point in subclavian vein puncture. Methods One hundred patients underwent deep vein catheterization were selected, ASA grade of Ⅱ- Ⅲ. The patients were divided into 2 groups according to puncture method with 50 cases each, the patients in group A used traditional puncturing method, and the patients in group B used Zhang point puncture method. The total success rate, success rate of the first trial and incidence of complication were recorded. All the patients received the bedside chest X-ray examination to observe the location of central venous catheter after surgery. Results The total success rate and success rate of the first trial in group B were significantly higher than those in group A:100%(50/50) vs. 88%(44/50) and 96%(48/50) vs. 76%(38/50), the incidence of complication was significantly lower than that in group A: 4% (2/50) vs. 20%(10/50), there were statistical differences (P<0.05). Conclusions Using of Zhang point is very simple in subclavian vein puncture catheterization, with a higher success rate and a less complication rate.