PICC在60例小儿白血病化疗中的应用  

Application of Peripherally Inserted Central Catheter in Chemotherapy of Leukemia in Children of 60 Cases

作　　者：朱军容[1] 何冰[1] 姚翠君[1] 文春燕[1] 

机构地区：[1]第一军医大学附属珠江医院,广东广州510282

出　　处：《实用护理杂志》2001年第12期3-5,共3页Journal of Practical Nursing

摘　　要：目的　探讨经外周静脉穿刺植入中心静脉导管 (PICC)在小儿白血病化疗中的应用效果。方法　对 6 0例白血病患儿采用美国BD公司生产的单腔导管 ,从上肢的浅静脉穿刺置管于上腔静脉进行化疗。结果　一次置管成功率为 93 30 %(5 6 /6 0 ) ;导管末端 5 5例位于上腔静脉内 (91 70 %) ,2例插入右心房 (3 33%) ,3例位于颈内静脉(5 0 0 %) ;平均置管时间为 (87.5± 39.2 )d ,最长为 30 2d ;置管期间无严重并发症及继发感染。结论　PICC是一种操作方便、安全可靠、并发症少、保留时间长的深静脉置管术 ,并能有效降低化疗药物对白血病患儿血管的毒性作用 ,值得临床应用推广。Objective To study the effects of peripherally inserted central catheter (PICC) in the chemotherapy of leukemia in children.Methods The single cave catheters,produced by BD company,United States,were used in 60 cases of children with leukemia.The puncture was performed at the superficial vein on the upper arm and the catheter tip was inserted deeply into the central vein.Results The success rate of one-off inserting of PICC was 93.30%(56/60).In 55 of 60 cases the catheter tips were located in superior vena cava (91.70%),and 2 cases in right atriums (3.33%),3 cases in internal jugular veins (5.00%).The average catheter-retaining time was (87.5±39.2) days,and the longest time was 302 days.No obviously serious complication and secondary infection was observed during the catheter-retaining period.Conclusions The PICC technique seems to be relatively simple and safe to operate,easier to fix and take care,and has longer catheter-retaining period and less complication.PICC can also effectively reduced the toxic effect of chemotherapy drugs to the blood vessels of the children with leukemia.It was suggested that PICC may be widely applied in the chemotherapy of leukemia in children.

关 键 词：白血病 化疗 外周静脉穿刺植入中心静脉导管 PICC 药物疗法 临床应用 儿童 

分 类 号：R733.7[医药卫生—肿瘤] R730.5[医药卫生—临床医学]