96例极低出生体重儿PICC导管的应用  

Application of PICC Catheter in 96 Cases of Very Low Birth Weight

作　　者：宇亚娟[1] 杜柯凝[1] 刘颖[1] 

机构地区：[1]长春市儿童医院新生儿ICU,长春130061

出　　处：《中国医药导刊》2015年第4期418-420,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:总结极低出生体重儿应用外周置入中心静脉导管(PICC)的护理体会。方法:选用美国BD公司生产的1.9Fr型号PICC管对96例极低出生体重儿实施PICC置管回顾性总结置管时机、置管静脉与部位、导管的应用及并发症的发生情况和处理方法。结果:96例患儿一针穿刺成功率93.8置管长度为6.5~14.0cm置管时间7~62天不完全堵管14例导管相关性血流感染4例。结论:PICC穿刺时机宜选择在病情平稳肢体无水肿时穿刺部位应首选肘部的贵要静脉实际置管长度比体表测量长度值小0.5cm^1cm正确的维护能延长置管时间并减少并发症的发生。Objective： To summarize the very low birth weight using peripheral experience from the nursing of central venous catheter （PICC） placement.Methods：Choose the BD company produces 1.9 Fr models PICC tube in 96 cases of very low birth weight implementation or＋ PICC catheter were retrospectively summarized venous catheter time,catheter and parts,the application of the catheter and the occurrence of complications and treatment methods.Results：96 cases of children with a success rate of first puncture is 93.8 needle tube length is 6.5-14.0 cm catheter time is 7-62 days not completely blocking pipe is 14 cases catheter-related bloodstream infection is 4 cases.Conclusion：PlCC puncture made when choosing members in stable condition with no edema of puncture should be first choice of the elbow to venous catheter actual length is smaller than surface measuring length value 0.5-1cm correct maintenance can extend the time of catheter and reducing complications.

关 键 词：早产儿 极低出生体重儿 经外周静脉置入中心静脉导管术 

分 类 号：R472[医药卫生—护理学]