低出生体质量儿PICC置管并发症比较及细节管理策略  

The complications comparison and detailed catheter management strategiesof PICC in the low birth weight infants

作　　者：周洁玉[1] 毕荣华[1] 陶莺[1] 陈颖[1] 

机构地区：[1]江苏大学附属医院儿科,江苏镇江212001

出　　处：《实用临床医药杂志》2015年第14期120-122,134,共4页Journal of Clinical Medicine in Practice

基　　金：镇江市社会发展(卫生重点)项目(SH2013077);江苏省科技创新与成果转化(生命健康科技)专项资金(BL2012058)

摘　　要：目的分析低出生体质量儿PICC并发症,探讨最佳置管途径,提出置管细节管理策略。方法回顾性分析80例低出生体质量儿PICC置管情况,比较上肢静脉及下肢静脉穿刺针数以及堵管率、静脉炎、导管异位、送管困难等并发症发生情况,探讨穿刺细节,提出置管细节管理策略。结果上肢静脉置管相对下肢静脉并发症少,但导管异位率和送管困难较下肢静脉多;下肢静脉的静脉炎发生率和堵管率高于上肢静脉。结论选择最佳穿刺部位,掌握不同静脉的解剖特点和穿刺技巧,加强细节管理,可减少PICC并发症,减轻患者痛苦,提高工作效率。Objective To analyze the complications of PICC in the low birth weight infants （LBWI）and to explore the optimal catheter- indwelling approach so as to put forward the detailed management strategies on catheter. Methods The conditions 80 low birth weight infants with PICC were retrospectively analyzed. The stitch counts, tube plugging rate, phlebitis, catheter mis- placement and difficulties in injection pipelines of venipuncture in upper and lower limbs were com- pared. Results The vein catheterization complications in upper limbs were relatively lower than those in the lower limbs, but the catheter misplacement rate and tube feeding difficulty was more than lower limbs vein. The rate of phlebitis and tube plugged in lower limbs were higher than that in upper limbs. Conclusion Choosing the best puncture position, grasping the anatomical charac- teristics and skills of different vein and strengthening detailed managements can effectively reduce the complications of PICC, relieve pain and improve efficiency.

关 键 词：低出生体质量儿 经外周中心静脉置管术 置管 

分 类 号：R473.72[医药卫生—护理学]