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首页> 外文期刊>Journal of Pediatric Surgery: Official Journal of the Surgical Section of the American Academy of Pediatric, the British Association of Paediatric Surgeons, the American Pediatric Surgical Association, and the Canadian Association of Paediatric Surgeons >Percutaneous central venous catheterization through the external jugular vein in children: improved success rate with body maneuvers and fluoroscopy assistance.
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Percutaneous central venous catheterization through the external jugular vein in children: improved success rate with body maneuvers and fluoroscopy assistance.

机译：儿童通过颈外静脉经皮中心静脉置管：通过身体动作和荧光检查辅助，成功率提高。

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摘要

BACKGROUND/PURPOSE: Central venous catheterization is among the most common procedures performed by pediatric surgeons. Significant morbidity and even mortality can ensue from the widespread approach to the deep veins of the neck and femoral region. The external jugular vein (EJV) is a low-morbidity alternative for percutaneous catheterization in children, but it has yielded a low success rate in previous reports .The authors show an improved success rate with this option. METHODS: We performed an analysis of 33 patients' charts in which central venous catheterization using Seldinger technique through the EJV was attempted in 2005. Age, diagnosis, maneuvers used for success, fluoroscopy usefulness, and types of inserted catheters were evaluated. RESULTS: The procedure was successful in 26 (78.8%) patients without complications. Diagnosis was neoplasia in almost half of the patients (42%). In half of the successful cases, body maneuvers were used, namely, twisting the head of the patient to the side of the vein and stretching the ipsilateral arm and shoulder. All but one procedure were completed under fluoroscopic guidance. In 6 (23%) patients, a long-term catheter was inserted. CONCLUSIONS: The EJV is an excellent option for central venous catheterization in children. The execution of simple maneuvers along with fluoroscopic assistance might allow for an improved success rate not only for short-term but also for long-term catheter insertion.
机译：背景/目的：中心静脉导管插入术是儿科医生最常用的手术之一。广泛的颈部和股静脉深部静脉入路可导致明显的发病率甚至死亡率。颈外静脉（EJV）是儿童经皮导管插入术的一种低发病率替代方法，但在以前的报道中它的成功率很低。作者显示，这种方法的成功率更高。方法：我们对33例患者的病历进行了分析，其中2005年尝试使用Seldinger技术通过EJV进行中心静脉导管插入术。评估了年龄，诊断，成功使用的手段，荧光检查的实用性以及插入的导管类型。结果：该手术成功治疗了26例（78.8％）无并发症的患者。几乎一半的患者（42％）诊断为肿瘤。在成功案例的一半中，采用了身体动作，即将患者的头部扭到静脉一侧，并拉伸同侧的手臂和肩膀。除一种手术外，所有手术均在荧光镜检查下完成。在6名（23％）患者中，插入了长期导管。结论：EJV是儿童中心静脉导管插入术的绝佳选择。简单的操作以及荧光检查的帮助不仅可以在短期内而且可以在长期导管插入中提高成功率。

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