【摘要】 目的 探讨锁骨下静脉穿刺置管术误入颈内静脉的原因与护理对策。方法 将169例锁骨下静脉插管的患者按不同的插管方法进行分组：试验组(78例)和对照组(91例)，对照组按常规的插管方法进行插管，试验组在常规的操作方法上进行了改进。对两组患者的插管误入率进行比较。结果 试验组明显优于对照组(P<0.05)，置管时间平均延长27.3天。结论 通过对锁骨下静脉置管进行操作方法的改进，减少了误入颈内静脉的发生率，有助于提高患者的生存质量。

    【关键词】 锁骨下静脉穿刺置管；颈内静脉；护理对策

    Analysis and nursing strategy for mistakable inserting internal jugular vein in subclavian venopuncture

    PAN Shi-ping,QIAO Ai-zhen,FAN Wu-si，et al.

    Department of Hematology,General Hospital of Air Force,Beijing 100036,China

    【Abstract】 Objective To investigate cause and nursing strategy of mistakable inserting internal jugular vein in subclavian venepuncture.Methods 169 patients underwent subclavian venepuncture in the treatment of bone marrow transplantation.78 of them were designed as study group and 91 patients as control group.In study group,the technique of inserting catheters was improved as comparison as routine method (control group).Results The incidence of mistakable inserting internal jugular vein was compared between two group by statistical analysis.The study group had better effect than control group (P<0.05),prolonged average period about 27.3 days.Conclusion The improvement of operating method in subclavian venepuncture may reduce the uncidence of mistakable inserting internal jugular vein,and enhance survival quality of patients. ......