经腋静脉置入PICC在新生儿中的应用

    The application of the PICC through axillary vein in newborn

    • 摘要: 目的:探讨经腋静脉置入外周静脉中心静脉导管(PICC)的方法及其对PICC并发症的影响。方法:经腋静脉置入PICC的140例新生儿为观察组,经其他部位置入PICC的139例为对照组。比较2组一次置管成功、送管困难、第一次置管时导管异位及异位纠正成功的发生率。结果:观察组一次穿刺成功率显著高于对照组(P<0.01);观察组穿刺送管困难发生率明显低于对照组(P<0.01);2组导管异位发生率差异无统计学意义(P>0.05);观察组导管异位纠正成功率显著高于对照组(P<0.01)。结论:新生儿经腋静脉置入PICC与其他部位置入PICC相比,能提高一次穿刺及纠正PICC导管异位的成功率,也能降低送管困难的发生率,值得在新生儿PICC置管中推广使用。

       

      Abstract: Objective: To explorethe means of the peripherally inserted central catheter(PICC) through axillary vein and its effects on complications.Methods: One hundred and forty cases treated with PICC through axillary vein and 139 cases through other location were set as the observation group and control groups,respectively.The success rate of once puncture,delivery problem,ectopic rate in the first time and incidence of ectopic correct in place in two groups were compared.Results: The success rates of once puncture and ectopic correct in place in observation group were significantly higher than those in control group(P<0.01).The incidence of piercing difficulty in observation group was obviously lower than that in control group(P<0.01).The difference of the ectopic rate between two groups was not statistically different(P>0.05).Conclusions: Compared with PICC through other location,the PICC through axillary vein can improve the success rates of once puncture and ectopic correct in place and decrease the incidence of piercing difficulty,which is worth popularizing in neonatal PICC.

       

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