Journal of Hebei Medical University

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Study on the placement rate of axillary vein in the position of the midpoint of the clavicle

  

  1. 1.Deparment of Intensive Care unit, General Hospital of Huabei Petroleum Administration,
    Renqiu 062552, China; 2. Deparment of Anatomy, the School of Basic Medical Sciences,
    Hebei Medical University, Shijiazhuang 050017, China
  • Online:2016-07-25 Published:2016-08-11

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Abstract: [ Abstract ] Objective Toinvestigatetheclinicalapplicationofthemethodofpunctureofthe
axillaryveininthepositionoftheclavicle.Methods Onehundredpatientswithcentralvenous
catheterizationwererandomlydividedinto2groups.Inthecontrolgroup , 50casesweretreated
bytraditionalblindmethod.punctureoperationtime , thenumberofpuncture , Puncturesuccess
rate , catheterplacementrateandcomplicationsin2groupswereobserved.Results heoperation
timeoftheexperimentalgroupwaslessthanthatofthecontrolgroup ( P <0.01 ) .Thedepthof
thecatheterizationintheexperimentalgroup wasdeeperthanthatinthecontrolgroup ( P <
0.01 ) .Thesuccessfulrateofonetimepuncturewashigherthanthatofthecontrolgroup ( P <
0.05 ) .Therewasnosignificantdifferenceintherateofinbutioninbothgroups ( P >0.05 ) .
There were noinjury ofarterialpuncture , pneumothorax , catheterobstruction , abnormal
bleedingofpuncturesiteandothercomplications.Therewasnoinfectioninthepuncturesite
duringtheperiodofhospitalizationintwogroups.Conclusion ApplicationofcolorDoppler
ultrasoundguidedbyaxillaryveincentralvenouscatheteroperationhashighsuccessrate , highin
placerate , fewercomplications , lowincidenceofinfectionduringhospitalization.Thismethodis
safeandreliable.Theoperationtimeislessandissuitableforclinicalpromotion.

Key words:  catheterization, centralvenous , midpointoftheclavicle , axillaryvein