Clinical observation and anatomical basis study on subclavian vein catheterization in 600 cases
10.11659/jjssx.1672-5042.201406014
- VernacularTitle:锁骨下静脉穿刺置管术600例临床观察及解剖学基础
- Author:
Yongheng WANG
;
Xiaoning XU
;
Fengjun LING
;
Duanmeng ZHANG
;
Dongling HUANG
;
Yanfeng WANG
;
Yang ZHOU
;
Xiuli WANG
- Publication Type:Journal Article
- Keywords:
subclavian vein;
catheterization;
clinical observation;
anatomic basis
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(6):610-611,612
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the local anatomic structure of subclavian vein and have a good command of operating methods and skills on subclavian vein catheterization (SVC) so as to improve the success rate of puncture. Methods Retrospectively analyze the clinical data of 600 cases of hospitalized patients who have had SVC (male 410, female 190) in our hospital from March 2010 to March 2014. Results There were 582 cases (97%) of successful puncture,including 546 cases (91%) of one-time puncture success,38 cases (6. 3%) of repeated puncture or other types of puncture,and 16 cases (2. 7%) of failed puncture. Postoperative complications occurred in 22 patients (3. 7%),including 8 cases (1. 3%) of strayed into the artery,3 cases (0. 5%) of pneumothorax,5 cases (0. 8%) of catheter tip into the internal jugular vein,2 cases (0. 3%) of catheter related infection,2 cases (0. 3%) of catheter blockage,and 2 cases (0. 3%) of arrhythmia. Conclusion SVC is easy,safe and reliable,and it is of high success rate and less complications. Catheter retention time of SVC is longer. From the above,SVC is a good central venous puncture method which is worth of popularizing in clinical use.
