瀹炵敤锛併€奱nesthesiology銆嬪彂琛ㄤ竴绉嶅皬鍎胯秴澹板紩瀵兼　鍔ㄨ剦绌垮埡鐨勬柊鏂规硶

鍘熸爣棰橈細瀹炵敤锛併€奱nesthesiology銆嬪彂琛ㄤ竴绉嶅皬鍎胯秴澹板紩瀵兼　鍔ㄨ剦绌垮埡鐨勬柊鏂规硶

缂栬瘧

鍒?鍧?涓婃捣浜ら€氬ぇ瀛﹂檮灞炶兏绉戝尰闄㈤夯閱夌

寮犲缓宄?瑗勯槼甯備腑蹇冨尰闄㈤夯閱夌

鍘熸枃

ZheFeng Quan, Liang Zhang, Chen Zhou,et al. Acoustic Shadowing Facilitates Ultrasoundguided Radial Artery Cannulation in Young Children.Anesthesiology 2019,131:1018鈥?4.

鑳屾櫙

鍎跨灏ゅ叾鏄┐骞煎効妗″姩鑴夌┛鍒烘槸涓€椤瑰叿鏈夋寫鎴樻€х殑涓村簥鎿嶄綔銆傚師鍥犲涓嬶細1. 妗″姩鑴夌殑鍙ｅ緞缁嗗皬锛屽娆＄┛鍒哄け璐ュ彲鑳藉鑷村姩鑴夎鑲匡紱2. 浼犵粺涓婏紝妗″姩鑴夌┛鍒轰娇鐢ㄨВ鍓栨爣蹇楀拰妗″姩鑴夋悘鍔ㄨЕ璇婏紝杩欎竴鎶€鏈殑鎴愬姛浣跨敤闇€瑕佺粡楠岋紝灏ゅ叾鏄湪鍎跨韬笂锛?. 瓒呭０寮曞涓嬬殑妗″姩鑴夌┛鍒洪€熷害銆佺┛鍒烘垚鍔熺巼寰堝ぇ绋嬪害涓婂彇鍐充簬瓒呭０鎿嶄綔浜哄憳鐨勭粡楠屽拰鎶€鑳姐€傛湰鐮旂┒閲囩敤浜嗕竴绉嶆柊鐨勬妧鏈紝鍗冲湪瓒呭０鎺㈠ご涓婁娇鐢ㄥ弻鏄惧奖绾挎潵鏀硅繘瓒呭０寮曞妗″姩鑴夌┛鍒烘妧鏈€傦紙鐮旂┒鑰呮潵鑷閮藉尰绉戝ぇ瀛﹂檮灞炲寳浜綉瀹夊尰闄€侀閮藉尰绉戝ぇ瀛﹂檮灞炲寳浜弸璋婂尰闄€佺編鍥芥€€淇勬槑澶у銆傦級

鏂规硶

灏?9鍚嶆帴鍙楀叏楹绘墜鏈殑鍎跨闅忔満鍒嗕负浼犵粺瓒呭０缁勫拰鏂板瀷瓒呭０缁勩€傜撼鍏ユ爣鍑嗕负锛氬勾榫?~24涓湀锛涗綋閲?~10 kg锛汚SA鍒嗙骇锛氣厾~鈪ｇ骇銆傛帓闄ゆ爣鍑嗕负锛欰llen璇曢獙闃存€э紱灏哄姩鑴夊紓甯革紱妗″姩鑴夌┛鍒洪儴浣嶆劅鏌擄紱鍏堝ぉ鎬у績鑴忕梾锛涘嚭琛€鎬т紤鍏嬫垨蹇冩簮鎬т紤鍏嬶紱璇曢獙寮€濮嬪墠1涓湀鍐呰繘琛屽姩鑴夌┛鍒虹殑鎮ｈ€呫€?/span>

涓ょ粍鍧囬噰鐢ㄧ煭杞村钩闈㈠鍏ヨ矾琛岃秴澹板紩瀵间笅妗″姩鑴夌┛鍒猴紝浼犵粺瓒呭０缁勬偅鍎块噰鐢ㄥ父瑙勬柟娉曡瓒呭０寮曞涓嬫　鍔ㄨ剦绌垮埡锛岃€屾柊鍨嬭秴澹扮粍鎮ｅ効鍒欏湪瓒呭０鍙屾樉褰辩嚎澹板奖寮曞涓嬭妗″姩鑴夌┛鍒恒€備富瑕佹寚鏍囨槸绗竴娆＄┛鍒虹疆绠＄殑鎴愬姛鐜囷紝娆¤鎸囨爣鍖呮嫭缃澶辫触鐜囥€佽秴澹板畾浣嶆椂闂村拰绌垮埡鏃堕棿銆?/span>

瓒呭０鎺㈠ご涓婄殑鍙屾樉褰辩嚎銆傚钩琛岀殑鍙屾樉褰辩嚎鍦ㄨ秴澹版帰澶翠腑鐐瑰涓庡叾闀胯酱鍨傜洿鍥哄畾銆? A锛氳秴澹版帰澶淬€佹樉褰辩嚎鍜屾棤鑿岃创鑶溿€侭锛氭樉褰辩嚎鍦ㄨ秴澹版帰澶翠腑鐐瑰浠ュ弻骞宠绾跨殑褰㈠紡涓庡叾闀胯酱鍨傜洿鍥哄畾銆傚湪瓒呭０鎺㈠ご涓婃秱鎶硅€﹀悎鍓傘€侰锛氭棤鑿岃创鑶滆鐩栬秴澹版帰澶淬€侱锛氳秴澹版帰澶翠笂鍙屾樉褰辩嚎鐨勬闈㈠浘 )

鍙屾樉褰辩嚎瓒呭０鎺㈠ご鍜岀┛鍒洪拡鐨勪綅缃€侫锛氬弻鏄惧奖绾胯秴澹版帰澶村拰绌垮埡閽堢殑鏀剧疆浣嶇疆銆侭锛氭　鍔ㄨ剦瓒呭０鍥惧儚(绾㈢澶?鍜屽弻鏄惧奖绾跨殑浣庡洖澹板奖(榛勮壊绠ご).

瓒呭０鍙屾樉褰辩嚎澹板奖寮曞妗″姩鑴夌┛鍒虹殑杩囩▼銆傛樉褰辩嚎鍐呭惈閲戝睘涓濈嚎锛岃繖浜涙樉褰辩嚎鍙栬嚜X灏勭嚎鍙帰娴嬬殑澶栫绾卞竷銆傞摱鐧界嚎琛ㄧず閽堝皷锛岄粦鍦堣〃绀烘　鍔ㄨ剦銆? A锛氶拡灏栧嵆灏嗗埡绌跨毊鑲わ紱B锛氶拡灏栧埡绌夸簡鐨偆锛屼絾娌℃湁鍒拌揪琛€绠★紱C锛氶拡灏栧埡寰楁洿娣憋紱D锛氶拡灏栬繘鍏ユ　鍔ㄨ剦)銆?/span>

缁撴灉

绗竴娆＄疆绠℃垚鍔熺巼锛氭柊鍨嬭秴澹扮粍 (90%)鏄庢樉楂樹簬浼犵粺瓒呭０缁?60%)銆傜疆绠″け璐ワ細浼犵粺瓒呭０缁勶細4渚嬶紝鏂板瀷瓒呭０缁勶細鏃犮€傝秴澹板畾浣嶆椂闂达細鏂板瀷瓒呭０缁勪腑浣嶆椂闂翠负6s锛屼紶缁熻秴澹扮粍涓?8s锛孭<0.001銆傜┛鍒烘椂闂达細鏂板瀷瓒呭０缁勪负24s锛屼紶缁熻秴澹扮粍涓?0s锛孭=0.012銆傜┛鍒虹偣鍑鸿锛氫紶缁熺粍 (30%)锛屾柊鍨嬭秴澹扮粍 (10%)锛孭=0.029銆?/span>

缁撹

鍙屾樉褰辩嚎鎶€鏈彲浠ュ揩閫熷噯纭湴纭畾绌垮埡鐐癸紝缂╃煭瓒呭０瀹氫綅鍜岀┛鍒烘椂闂达紝鑰屼笖鎻愰珮鍎跨妗″姩鑴夌┛鍒烘椂绗竴娆＄┛鍒虹殑鎴愬姛鐜囥€?/span>

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