Compare The Complications Of The Color Ultrasound With Blind Agent Puncture By Right Internal Jugular Vein

Objective Compare the complications of puncture on the right internal jugular vein between the color ultrasound agent and the blind posture sign agent.Methods choosing 120 cases of patients who would be in removal surgery of colorectal tumor. ASA class Ⅰ～Ⅲ, aged 23～81,32～81 kg weight(On laparoscopic). Patients were randomly in two groups (n=60):color ultrasound group(group C)[The patients would be allocated to physiological saline group(group CP,n=30)and Heparin saline group(group CH,n=30)]and blind puncture group(group B) [The patients would be allocated to physiological saline group(group BP,n=30)and Heparin saline group(group BH,n=30)] by random distribution method.The two groups would have a surgery of right internal jugular vein puncture tube insertion which would be done at the place of thyroid cartilage platform,the sternocleidomastoid inside of the rim where can touch the pulse of the right internal carotid artery,after endotracheal intubation technique.Records in the two groups of patients with indwelling catheter depth、 indwelling catheter time、intraductal thrombus length、fine needle test number、 thin blue empty needle puncture and the neck puncture points、subcutaneous haematomas、the drainage、skin irritation、wall after pricking blood vessels、 success rate of puncture and the effect of indwelling catheter in thrombosis between the heparin group and physiological saline group.The circumferential mural thrombus in catheter of group BH,group BP,group CH,group CP.Results After needle try ein number two or more constituent ratios of chi-square test, color ultrasound is greater than Blind agen, the two group hold a statistical significance(p<0.05). group C don’t have the accident of piercing the back wall of the internal jugular vein,but group B make that the probability of 11.7%.Through a completely randomized design of continuity Correction, the two group hold a statistical significance(p<0.05). Thin blue empty needle puncture veins in number, the number of the puncture poin, hold no statistical significance(p>0.05),through a completely randomized design of chi-square tests. The success rate of group C is 100%,group B is 93.3%.Through a completely randomized design of continuity correction,the two group don’t show statistical significance(p>0.05). Two groups are not apparent subcutaneous hematoma puncture, and correct in arteries, hemopneumothorax and arrhythmia or heart damage.After a completely randomized design of chi-square test, The Heparin saline group show better than the physiological saline group, the two group hold a statistical significance(p<0.05). physiological saline group show worse than the Heparin saline group in the length of catheter thrombosis,through two independent samples Test,there is statistical significance(p<0.05).After Chi square test for multiple sample rates, the Heparin saline group and the physiological saline group don’t show a statistical significance(p>0.05).Conclusion:First, Puncture of the right internal jugular vein between the color ultrasound agent and the blind agent,the color ultrasound agent is greater than the blind agen in fine needle aspiration puncturer;The blind agent after puncture pricking internal jugular vein wall probability is worse than the color doppler ultrasound group.Second, The Heparin saline group show better than the physiological saline group in resolvation of insertion catheter and infusion tube;Physiological saline group show worse than the Heparin saline group in the length of catheter thrombosis.