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1952年Aubainic首先倡用锁骨下入路进行锁骨下深V穿刺置管术成功后,它部分代替了V切开术。经过多年来的临床实践,已成功的应用于内科急症,目前最常用和较方便的是颈内 V、锁骨下V和股V穿刺置管术。它是急诊室、ICU后CCU病房重要的诊治监测手段。本文是笔者于92~93年在北京协和医院内科急症进修期间与同行所进行的57例锁骨下V和股V穿刺置管术中的一些体会,与同行进行交流和探讨。
1952 Aubainic first advocated the subclavian deep V-percutaneous approach to the success of catheterization, it partially replaced V incision. After years of clinical practice, has been successfully applied to medical emergencies, the most commonly used and more convenient is the intra-neck V, supraclavicular V and V-puncture catheterization. It is an emergency department, ICU ward after the diagnosis and treatment of important CCU monitoring means. This article is the author in the 92-93 years in Peking Union Medical College Hospital, acute exacerbation and colleagues during the 57 cases of subclavian V and V-like catheterization in some of the experience, and their peers to exchange and discussion.