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目的比较实时超声引导与体表标志两种方法在腋静脉置管中的优劣。方法回顾性分析2015年5月至2015年11月于本院接受腋静脉置管的228例患者的临床资料,其中,实时超声引导置管126例(超声组),体表标志法置管102例(体表标志组)。记录两组术中操作时间、一次试穿成功率及术后并发症发生情况。所有患者置管后均拍摄X线胸片以确认有无气胸发生。结果超声组一次试穿成功率显著高于体表标志组(92%︰80%,P<0.01)。超声组术中操作时间短于体表标志组[(6.63±0.66)分钟︰(9.26±1.05)分钟,P<0.01],术后并发症少。结论实时超声引导下腋静脉置管可提高一次试穿成功率,明显缩短操作时间,减少并发症,提高了腋静脉置管的安全性。
Objective To compare the advantages and disadvantages of real-time ultrasound guidance and body surface markers in the treatment of axillary venous catheterization. Methods The clinical data of 228 patients who underwent axillary venous catheterization in our hospital from May 2015 to November 2015 were retrospectively analyzed. Among them, 126 patients underwent real-time ultrasound guided catheterization (ultrasound group), 102 Example (body mark group). Record the operation time of two groups, the successful rate of one try and the incidence of postoperative complications. All patients underwent radiography X-ray chest to confirm the occurrence of pneumothorax. Results The success rate of one-time try-on in ultrasound group was significantly higher than that in body surface marker group (92%: 80%, P <0.01). The operative time of the ultrasound group was shorter than that of the body surface marker group [(6.63 ± 0.66) minutes: (9.26 ± 1.05) minutes, P <0.01]. There were less postoperative complications. Conclusion The real-time ultrasound-guided axillary vein catheterization can improve the success rate of one try-on, significantly shorten the operation time, reduce complications and improve the safety of axillary vein catheterization.