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目的评价颈内静脉、股静脉两种深静脉置管术在抢救急危重症患者中的应用价值。方法对我科2005年至2008年73例行深静脉置管术的急危重症患者的临床资料进行回顾性分析,对两种深静脉置管术的一针穿刺成功率、插管完成时间、误穿动脉率、导管相关感染率进行比较。结果股静脉置管术的一针穿刺成功率较颈内静脉置管术高,插管完成时间短,误穿动脉率低,但导管相关感染率高。结论股静脉穿刺置管简便、风险低、并发症少,有临床应用价值。
Objective To evaluate the value of two kinds of deep venous catheterization in the treatment of acute and critical patients. Methods The clinical data of 73 critically ill patients with deep venous catheterization from 2005 to 2008 in our department were retrospectively analyzed. The success rate of the first needle puncture, the completion time of intubation, Wrong arterial rate, catheter-related infection rates were compared. Results The success rate of one needle puncture in femoral vein catheterization was higher than that in jugular vein catheterization. The intubation completion time was short, the rate of arterial infiltration was low, but the catheter-related infection rate was high. Conclusion Femoral vein puncture catheter is simple, low risk, fewer complications, clinical application value.