危重症患儿血栓栓塞的危险因素分析和干预  

Analysis and intervention of risk factor of venous thromboembolism in critically ill children

作　　者：蔡洁贞[1] 邓秀琪[1] 徐月梅[1] 

机构地区：[1]深圳市龙岗区人民医院儿科,广东深圳518172

出　　处：《中国当代医药》2012年第17期5-6,共2页China Modern Medicine

摘　　要：目的分析危重症患儿静脉血栓栓塞(VTE)发病的主要危险因素,并探索有效的干预措施。方法前瞻性研究321例PICU患儿,经影像确诊静脉血栓栓塞,分析各种因素对危重症患儿静脉血栓栓塞发病和预后的影响,针对性地制定干预措施。结果 30例患儿合并有症状性VTE,影响VTE的危险因素有:年龄、心脏疾病、手术情况、中心静脉导管、机械通气。有中心静脉置管(CVC)的患儿VTE发病率升高,VTE患儿病情重、死亡率升高。结论 PICU患儿VTE发病率较高,CVC的使用和机械通气是主要的危险因素,一定的干预可能减少VTE的发病和改善预后。Objective To analyze the risk factors of venous thromboembolism （VTE） in critically ill children and to investi- gate nursing interventions. Methods Thirty children with VTE in PICU were confirmed, the effects of risk factors on inci- dence and prognosis of VTE were studied, some nursing interventions were established. Results Risk factors of VTE were younger age, cardiac diagnosis, operative status, central venous catheter, or mechanical ventilation. Incidence of VTE in children with central venous catheter （CVC） increased, severe illness and mortality rate increased. Conclusion Children in PICU have higher incidence of VTE. CVC and mechanical ventilation are the major risk factor. The intervention may de- crease incidence and improve prognosis.

关 键 词：中心静脉导管 儿科重症监护中心 静脉血栓栓塞 机械通气 

分 类 号：R563.5[医药卫生—呼吸系统]