静脉穿刺

It＇ s best to choose basilic vein at first, especially the right side, with the puncture point going over the elbow joint; and the next best choice is the jugular external vein on the right side as well.

在非高速度滴注的情况下，尽量选用小管径的导管；对血管的选择应当首选贵要静脉，优选右侧，穿刺点最好过肘关节，其次选择颈外静脉优选右侧；选择PICC置管操作应慎重，操作之前做好详细的评估。

Main products of this company are:single-use vein needle,anaesthetic puncture bag,infusion pump,puncture bag for thorax,canula for trachea,trachea cut cannula,sputum aspirator pipe,suction connection pipe,urethral catheterization bag,general anesthesia bag,dressing change bag,oxygen therapy pipe,etc.

公司主要产品有：一次性使用静脉留置针，麻醉穿刺包，输注泵，胸腔穿刺包，气管导管，气管切开插管，吸痰管，吸引管、连接管，导尿包，全麻包，换药盒，输氧管等。

In order to increase achievement ratio during venipuncture blood collection with Vacuette, venipuncture peed should be controlled accurately.

对使用真空采血器静脉采血穿刺难度高的老年患者，相应延长穿刺时间放慢进针速度是提高老年患者采血成功率的有效措施。

Objective To investigate the cause of native arterio-venous fistula aneurysm and prevention measures. Methods There were 7 cases with snuff-box arteriovenous fistula and 53 cases with brachiocephalic fistulas. Among them, 14 patients had to made second fistulas in the same arm .Spring tape around the arm was used to stop bleeding after dialysis.

目的 研究血液透析患者动静脉内瘘动脉瘤形成的原因及预防措施方法选取我科透析患者60例，其中鼻咽窝7例，左右臂内瘘53例（第二次同侧手臂手术14例）；穿刺方法绳梯式穿刺和局域穿刺；止血方法主要采用弹力绷带压迫法。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例患者经紧急心包穿刺引流均成功治愈，无1例需外科急诊手术。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例美白患者经紧急心包穿刺引流均成功治愈冬季，无1例需外科癌症急诊预防手术胃痛。

The use vein leaving alone needle common complication has the puncture spot to infect, the hypodermic haematoma, the liquid leakage, the drive pipe jamming, the phlebitis and the phlebothrombosis.

使用静脉留置针常见并发症有穿刺部位感染、皮下血肿、液体渗漏、导管堵塞、静脉炎及静脉血栓形成。

Methods 101patients were enrolled to perform central venous catheter placement.The patients were taken hor-izontal position,retrosternal raised30°orientation,head faced to the left.The puncturing point lower1.5cm subclavian（at1/3between sternoclavicular joint and shoulder joint）,injector was directed toward laryngeal prominence,parellel and slowly puncturing.

101例锁骨下静脉置管患者均取平卧位，肩背部垫高30°，头向左侧，取胸锁关节至胸肩关节连线的1/3处，锁骨下缘1.5cm为穿刺进针点，右手持注射器于穿刺点朝喉结方向平行缓慢进针，置管深度为15cm。

The placement depth of the catheter was15cm.Results The subclavicular insertion was suc-ceded in99cases,failed in2cases.The placement duration was ranged from1to60days.No complications occurred.

结果 经锁骨下静脉置管穿刺成功99例，2例穿刺失败，导管放置时间最短为1天，最长为60天，无并发症发生。

To observed the best ablation temperature of getting effectively electrical isolation, first, we selected three mongrel dogs, if transseptal catheterization was performed successfully, then the pulmonary vein ostia、superior vena cava ostia and inferior vena cava ostia were ablated with TTB-USA (predetermined temperature: 50℃、55℃、60℃ respectively, ablation time: 60 seconds).

为观察不同温度超声消融入心静脉口对电传导的影响，确定最佳的消融温度与消融时间。我们首先选用健康成年犬3只，如果房间隔穿刺成功，则行超声消融肺静脉口与上、下腔静脉口；如果不成功，则单纯消融上、下腔静脉口。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。