新生儿脐静脉置管术异位及术后门静脉积气发生情况分析  

Analysis on dystopia and postoperative portal venous gas in umbilical vein catheterization for newborns

作　　者：林华梅[1] LIN Hua-mei(The Maoming Peopled Hospital,Maoming 525000,China)

机构地区：[1]广东省茂名市人民医院新生儿科,广东茂名525000

出　　处：《广东医科大学学报》2020年第4期489-492,共4页Journal of Guangdong Medical University

摘　　要：目的了解新生儿脐静脉置管术异位及术后门静脉积气的发生情况。方法回顾分析129例实施脐静脉置管术新生儿的置管出现异常或发生门静脉积气的情况、原因及解决办法。结果129例新生儿实施脐静脉置管术,发生异位79例(61.2%);置入中心静脉67例,成功率为51.9%。其中108例进行肝胆超声检查,筛查出门静脉积气9例。结论新生儿脐静脉置管术异位率较高,应通过改进操作技术降低其发生率;而且门静脉积气发生率高,应及时发现,及早处理。Objective To investigate the incidence of dystopia and postoperative portal venous gas in umbilical vein catheterization(UVC)for newborns.Methods Clinical data of 129 cases receiving UVC were retrospectively analyzed in terms of the occurrence of dystopic catheters or portal venous gas,the causes and solutions.Results Among 129 newborns,79 cases had dystopia(61.2%);67 cases had catheters implanted in the central vein,and the success rate was 51.9%;108 cases underwent hepatobiliary ultrasonography and 9 cases were diagnosed with portal venous gas in the screening.Conclusion The UVC for newborns has a relatively high dystopic rate,and the operation technique should be improved to reduce the incidence.The UVC for newborns also has a high incidence of portal venous gas,which should be timely identified and treated as soon as possible.

关 键 词：脐静脉置管 异位 新生儿 门静脉积气 

分 类 号：R722.1[医药卫生—儿科]