Abstract:
Objective To explore the advantages of external jugular vein needle puncture in the treatment of intravenous access and intravenous blood extraction of patients with acute traumatic shock.
Methods A total of 203 patients with acute traumatic shock were selected from January 2015 to October 2016 in the Department of Emergency, the Chinese People′s Liberation Army Rocket Forces General Hospital. The patients were divided into experimental group (n=102) and control group (n=101) according to random number method. Jugular accesses of patients in the experimental group were established by extracting blood with external jugular vein puncture. Jugular accesses of patients in the control group were established by extracting blood with peripheral jugular vein puncture. The success rate of vein puncture, vein puncture blood and establishing venous access, vein puncture in 2 minutes were recorded respectively. The number of punctures to establish the venous access successfully were recorded, too. The counting data were processed with χ2 test, and the measurement data were processed with t test.
Results The success rate of vein puncture was 99.1% in the experimental group and 92.8% in the control group, and there was significant difference between the two groups(χ2=4.81, P< 0.05). The success rate of vein puncture blood and establishing venous access in the experimental group was 98.04% while the control group was 82.18%, and there was significant difference between the two groups(χ2=14.37, P<0.05). The success rate of vein puncture was 91.18% in the experimental group and 70.30% in the control group, there was significant difference between the two groups (χ2=14.25, P<0.05). The number of punctures in the experimental group was (1.13±0.40) times and it was (1.41±0.93) times in the control group, and there was significant difference between the two groups (t= 3.28, P<0.05).
Conclusion The external jugular vein puncture in emergency resuscitation of patients with acute traumatic shock can improve the success rate of vein puncture blood and establishing venous access.
Key words:
Phlebotomy,
Shock, traumatic,
Emergency medical services,
Intravenous infusion
Xiaochun Zhang, Qiuhong Zhang, Jie Chen, Lieming Wang, Bu Song. Advantages of puncture of external jugular vein in establishing venous access and blood extraction of patients with acute traumatic shock[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2017, 12(06): 473-476.