超低出生体重儿经外周导入中心静脉置管的疗效观察和护理  

Clinical observation of peripherally inserted central catheter in the extremely low birth weight infant

作　　者：林真珠 张小园 楚阳 周红 邹运芬 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院新生儿科,广东深圳518020

出　　处：《现代临床护理》2005年第6期18-19,共2页Modern Clinical Nursing

摘　　要：目的探讨外周导入中心静脉置管(PICC)在超低出生体重儿(ELBWI)的应用效果。方法同顾性总结和分析13例ELBWI实施PICC置管的效果和护理经验。结果实际完成置管18例次,置管成功率100％;平均留置时间 36±17．47d;发生血氧饱和度下降2例,静脉炎3例,导管外露部位断裂3例,导管相关性败血症1例。结论 PICC置管是 ELBWI静脉输液的较好选择。严格执行无菌操作,正确更换敷料,做好并发症的预防对延长PICC管使用时间,减少护理并发症具有重要的作用。Objective To investigate the application of peripherally inserted central catheter （PICC） in the extremely low birth weight infant （ELBWI）. Methods 13 extremely low birth weight infants were treated with PICC. Results 18 times of PICC were completed in 13 patients, and the successful rate was 100%. The average detention time was 36＋17.47 days. The complications included transient descending of pereutaneous oxygen saturation during the operation and phlebitis collapse of catheter out-of-body and catheter-related sepsis. The average length of the catheter placed into the vein was 10.19＋1.66 cm. The top of the catheter was placed into the superior vena cava for 17 times. Conclusions It is a good choice for ELBWI to use PICC for transfusion. It is very important to prevent catheter-related infection.

关 键 词：超低出生体重儿 外周导入中心静脉置管 护理 

分 类 号：R473.72[医药卫生—护理学]