外周导入中心静脉置管留置时间探讨  

The exploration for the timing of peripheral conducted central vein indwelling catheter

作　　者：梁海华[1] 谢巧庆[1] 张婷婷[1] 蓝丽芳[1] 

机构地区：[1]中山大学附属第一医院儿科,广东广州510080

出　　处：《护士进修杂志》2002年第8期570-572,共3页Journal of Nurses Training

摘　　要：目的探讨外周导入中心静脉置管留置时间。方法对 2 0 0 0年 2月～ 2 0 0 2年 2月在中山大学附属第一医院儿科病房进行PICC插管的 10 2例病人进行每日观察并记录。结果导管留置天数 7～ 396天 ,平均留置时间 138天 ,发生Ⅰ级静脉炎 2例 ,穿刺点出血 2例 ,液体外渗 2例 ,导管堵塞 12例 ,拔管后导管全部完整 ,细菌培养全部阴性。经临床观察发现 ,静脉炎的发生和穿刺点出血、渗液与留置时间差异无显著性意义 (P >0 .0 5 )。结论PICC导管留置时间可以超过一年 ,但要密切观察是否有并发症发生 ,并提出了并发症的预防措施。Objectives To explore the timing of peripheral conducted central vein indwelling catheter.Method Daily observing records for 102 cases patients with PICC intubation from Feb. 2000 to Feb. 2002 in department of pediatrics were conducted and analyzed.Result the days for indwelling catheter was 7～396, averaged 138 days,2 cases of stage I phlebitis occurred, 2 cases with bleeding in puncture point,2 cases with fluid leakage, 12 cases with duct block. All catheter are. unabridged arter pull out and bacterial fostering negative.There is no significantly difference between fluid leakage and time of indwelling catheter( P < 0.05 ).Conclusion PICC indwelling catheter coule exceed one year.But close observation of complication are necessary, and put forward the measurement for complication prevention.

关 键 词：留置时间 外周导入 中心静脉置管 白血病 护理技术 

分 类 号：R733.7[医药卫生—肿瘤] R472.9[医药卫生—临床医学]