作者：果应菲，王建国，何忠杰，张宪，马俊勋，宋祖军

【关键词】  锁骨下静脉穿刺

    Threemidpoint method to establish subclavian vein access in 621 patients

　　【Abstract】  AIM: To discuss the method of subclavian vein puncture in the emergency management. METHODS:  Threemidpoint method of establishing subclavian vein access was used in 621 emergency cases between February 1995 to December 2004. RESULTS:  One pricker was achieved in 399 cases, two prickers in 159 cases and three prickers in 63 cases. The subclavian vein access was successfully established totally in 617 cases and failed in 4 cases. One pricker in nonstandard pose was achieved in 22 cases of the 38 cases (57.9%), lower than that in standard pose (64.3%). Local infection was found in 25 cases, general infection in 5 cases, local subcutaneous haematoma in 12 cases, local subcutaneous liquid turgescence in 4 cases and pneumothorax in 4 cases. No serious complications were observed. CONCLUSION:  The three midpoint method of establishing subclavian vein access is recommended in emergency management.

　　【Keywords】 subclavian vein puncture；central vena catheterization；threemidpoint method

　　【摘要】 目的：探讨在急诊抢救危重患者时建立锁骨下静脉通路 方法 . 方法： 199502/200412使用三中点法建立锁骨下静脉通路621例. 结果：本组患者一针成功399例(64.3%)，二针159例(25.6%)，三针以上63例(10.1%)，操作成功617例（99.4%），操作失败4例(0.6%). 在非标准体位下锁骨下行……