经外周中心静脉置管术在婴幼儿肠外营养中的应用与护理  

Application and nursing of peripherally inserted central catheter in parenteral nutrition of infants

作　　者：武媛 冀珊珊 

机构地区：[1]渭南市华州区人民医院,陕西渭南714100

出　　处：《临床医学研究与实践》2017年第32期182-184,共3页Clinical Research and Practice

摘　　要：目的探讨经外周穿刺中心静脉置管(PICC)在婴幼儿肠外营养(TPN)中的应用与护理。方法分析我院36例经PICC行TPN的患儿临床资料,总结临床治疗、护理方法和经验。结果置管失败2例,腋静脉穿刺置管4例,头静穿刺脉置管1例,肘正中静脉穿刺置管4例,贵要静脉穿刺置管25例。进行2次PICC置管完成TPN治疗3例,PICC留置时间最短5 d,最长29 d,术后发生导管堵塞2例,漏液1例,导管感染1例。结论 PICC在婴儿置管时的操作有一定难度,但可长时间留置导管,并发症较少,符合婴幼儿静脉高营养的需求,应用前景广阔。Objective To research the curative effect and nursing of peripherally inserted central calheler （ PICC）in parenteral nutrition of infants. Methods The clinical data of 36 cases of infants underwent TPN through PICC in our hospilal was analyzed. The clinical treatment, nursing methods and experience were concluded. Results Two cases of calhelerizalion failed, and lhe others succeeded. There were 4 cases through axillary vein, 1 case through scalp vein, 4 cases through median cubital vein, and 25 cases through basilic vein. Three cases underwent 2 limes ofPICC. The shortest indwelling lime of PICC was 5 d and lhe longest was 29 d. After operation, there were 2 cases with calheler blockage, 1 case with leakage and 1 case with calheler infections. Conclusion Il is difficult lo applicate lhe PICC in infant palienls, bul lhe complications were less and lhe lube can be indwelled for a long lime, and this method conforms lo higher intravenous nutrition of infant palienls, which possesses wide application perspective.

关 键 词：经外周穿刺中心静脉置管术 婴幼儿肠外营养 并发症 

分 类 号：R472.9[医药卫生—护理学]