新生儿经不同外周静脉置入PICC导管的临床观察及分析  

Clinical Observation and Analysis of PICC Catheter Inserted through Different Peripheral Vein in Neonates

作　　者：高丽华[1] 李小燕[1] 吴容燕 

机构地区：[1]首都儿科研究所附属儿童医院,北京100020

出　　处：《中国医学创新》2017年第2期137-141,共5页Medical Innovation of China

摘　　要：目的:通过对新生儿经不同外周静脉置入PICC导管的临床观察,探讨新生儿PICC导管置入上腔静脉成功率最高的外周静脉及其并发症情况。方法:通过对2009年5月-2014年12月本院新生儿使用PICC导管的情况进行统计处理,分析新生儿可经哪些外周静脉成功置入PICC导管及其并发症情况。结果:新生儿行PICC穿刺术置入上腔静脉成功率较高;外周静脉分别为:颈外静脉,置入率93.5%,并发症发生率16.1%;腋静脉,置入率100%,并发症发生率0;贵要静脉,置入率86.4%,并发症发生率6.8%;颞静脉,置入率64.3%,并发症发生率14.3%。结论:新生儿PICC导管置入上腔静脉成功率最高的外周静脉依次为颈外静脉、腋静脉、贵要静脉。并发症发生率最低的外周静脉依次为腋静脉、贵要静脉、颞静脉。Objective：To investigate the clinical effect of PICC catheter implantation on the peripheral vein and its complications in neonates with PICC catheter insertion through different peripheral vein.Method：By using PICC catheter in our hospital from May 2009 to December 2014,we analyzed the statistical process the PICC catheter and its complications.Result：Newborn PICC puncture into superior vena cava had high success rate,peripheral vein respectively：external jugular vein,implantation rate was 93.5%,the incidence of complications was 16.1%.Axillary vein,implantation rate was 100%,the incidence of complications was 0%.Basilic vein,implantation rate was 86.4%,the incidence of complications was 6.8%.Temporal vein,implantation rate was 64.3%,the incidence of complications was 14.3%.Conclusion：The successful rate of PICC catheter insertion in neonates are external jugular vein,axillary vein and basilic vein.The lowest incidence rate of complication are axillary vein,basilic vein,superior vein.

关 键 词：新生儿 PICC 外周静脉 导管尖端位置 

分 类 号：R473.72[医药卫生—护理学]