摘要
Abstract
Objective To explore the application of peripherally inserted central catheter (PICC) in premature and treatment of common complications .Methods Retrospective analysis was conducted on 41 premature infants with PICC between October 2011 and June 2013 in neonatal intensive care unit of First Affiliated Hospital of Xi ’ an Jiaotong University , including inserting pathways , success rate , length of tube, tube indwelling time, complications and treatment methods .Results Of 41 cases, 25 cases were inserted from median cubital vein , 11 cases from basilic vein , 2 cases from brachiocephalic vein , 2 cases from superficial temporal vein and 1 case from external iliac vein . There were 35 cases with catheter on right side and 6 cases on left side.The success rate was 100%(41/41), with length of 7-12 cm and tube indwelling time 3h-44d.Extubation of 29 cases were at recovery, and 2 cases underwent extubation for heterotopia , 2 cases for block, 3 cases for exceptional permeability , 1 case for phlebitis , 1 case for positive germiculture , 2 cases for glucan increasing , and 1 case for clinical symptoms of infection .Conclusion Because of high success rate , safety and long indwelling , PICC is an appropriate venous channel for premature .Median cubital vein and basilic vein are better venous pathway , and the cases with brachiocephalic vein , superficial temporal vein and superficial temporal vein decrease .We speculate that superficial temporal vein is not suitable for venous pathway .关键词
经外周中心静脉置管/早产儿/常见并发症/管理Key words
peripherally inserted central catheter ( PICC)/premature/common complications/management分类
医药卫生
