摘要
目的分析PICC在危重新生儿应用中的常见并发症及对策。方法回顾分析2017年1月—2018年8月我院新生儿科行PICC导管静脉输液治疗的134例危重新生儿临床资料,观察PICC并发症占比及分布情况,并分析相应措施。结果本组患儿经大隐静脉穿刺,顶端抵达下腔静脉者较多,占比54.48%;出现机械性静脉炎患儿9例,占比29.03%。结论在危重新生儿应用PICC中,极易出现导管尖端异位、感染、静脉炎等并发症,因此,需在PICC留置操作过程中,进一步规范操作流程,操作中需正确掌握留置技术及导管维护方式,以避免并发症出现。
Objective To analyze the common complications and countermeasures of PICC in critical neonates.Methods The clinical data of 134 critical neonates treated by PICC catheter intravenous infusion from January 2017 to August 2018 were retrospectively analyzed.The proportion and distribution of complications of PICC were observed,and the corresponding measures were analyzed.Results Most of the patients reached the inferior vena cava through the great saphenous vein puncture,accounting for 54.48%,and 9 children with mechanical phlebitis,accounting for 20.93%.Conclusion In the application of PICC in critically ill neonates,complications such as ectopic tip of catheter,infection and phlebitis are easy to occur.Therefore,it is necessary to further standardize the procedure of PICC indwelling operation,and correctly grasp the indwelling technology and catheter maintenance methods in order to avoid complications.
作者
卢文珍
LU Wenzhen(Newborn Pediatrics Department,Longyan First Hospital,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2019年第3期109-111,共3页
China Health Standard Management
关键词
危重新生儿
并发症
PICC
对策
分析
探讨
critical neonates
complications
PICC
countermeasures
analysis
discussion
