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近十年来经锁骨下静脉穿刺进行上腔静脉插管作长期高营养治疗及用来测定中心静脉压日渐增多,但也带来一些严重的、甚至致死的胸膜损伤併发症?966年以来一些英、美作者报告采用经颈内静脉穿刺作上腔静脉插管的经验。临床有关的解剖关系①颈内静脉是从背头侧走向腹尾侧方向而与胸锁乳突肌交叉。②籍颈筋膜与胸锁乳实肌相连而且固定。③在其周围有颈总动脉、颈交感神经及星状神经节、颈丛神经、迷走神经及膈神经,左侧还有胸导管。④颈内静脉与
In the past 10 years, superior vena cava cannulation via subclavian vein puncture for long-term high-nutrition therapy and for the determination of increasing central venous pressure have brought about some serious and even fatal complications of pleural injury. Since 1966 Some British and American authors report the use of internal venous puncture for superior vena cava catheterization experience. Clinical anatomy ① internal jugular vein from the dorsal to the abdominal caudal lateral sternocleidomastoid and the cross. ② Ji neck fascia and sternoclavicular muscle connected and fixed. Around the carotid artery, cervical sympathectomy and stellate ganglion, cervical plexus, vagus nerve and phrenic nerve, left thoracic duct. ④ jugular vein and