摘要
为提高新生儿锁骨下静脉穿刺术的成功率，避免其邻近结构损伤形成的并发症．方法：对50具新生儿尸体锁骨下静脉及其相关结构进行了层次解剖、测量及观察．结果：锁骨下静脉起始端外径值（mm）为4．6±0．8（3．6～5．0），终点外径（mm）为6．2±0．8（5．2～7．4），长度（mm）为18．6±2．0（16．2～20．9），锁骨下静脉与锁骨下缘交点处由皮肤至锁骨下静脉前壁的垂直距离（mm）为10．1±1．4（8．7～11．6），锁骨下静脉与锁骨下面交点的角度为38．2°±11．4°，交点指数为39．1％．结论：新生儿锁骨下静脉穿刺术是一种安全快捷的急救穿刺部位，进外部位应以锁骨内、中1／3交点的稍外侧为宜，穿刺针头与锁骨下缘的交角进针以35°～45°为宜，穿刺针头以胸壁皮肤的交角以贴进皮肤10°～15°．
Aim: For improving the puncture of subclavianvein and avoiding injury to adjacent structures. Methods:The subclavian vein and the adjacent tissues were observedand measured on 50 newborn cadavers. Results: The average diameter for the subclavian veins were (4. 6±0. 8) mmat the beginning, (6. 2±0. 8) mm at the end and It's lengthaveraged (18. 6±2. 0) mm. It laid (10.1±1. 4) mm deepunder the skin and muscles in the infraclavicular region. Theangle between the vein and the clavicle was 38. 2℃±11. 4°,copulation point index Ⅰ was 39. 1 %. Conclusion:Subclavianvein is a safe position for vein puncture, the puncture pointshould behind the medial third of the clavicle. The needleand the clavicle is 35°~45°,and that between the needle andskin is 10°~15°.
出处
《第四军医大学学报》
1998年第4期409-411,共3页
Journal of the Fourth Military Medical University
