摘要
目的探讨经外周穿刺中心静脉置管（PIcc）术在婴幼儿肠外营养（TPN）中完成的治疗情况及并发症的观察及护理。方法分析32例经PICC行肠外营养婴幼儿的临床资料，总结护理经验及常见护理问题的观察与处理。结果置管失败2例，头皮静脉置管1例，腋静脉置管2例，贵要静脉置管27例；进行2次PICC置管完成TPN治疗2例；PICC留置时间最短3d，最长34d；发生导管堵塞1例，漏液1例，导管相关性感染1例。结论PICC在婴幼儿置管时存在困难，但并发症少，可长时间留置，完全符合婴幼儿静脉高营养的需求，具有广阔的应用前景。
Objective To explore the treatment effect of peripherally inserted central catheter （PICC） in parenteral nutrition of infants and observation and nursing of its complication. Methods Clin- ical data of 32 cases of infants who underwent parenteral nutrition through PICC were analyzed. The nursing experience and observation and handling of common nursing problems were summarized. Results 2 cas- es failed catheterization, the others succeeded, 1 case through scalp, 2 cases through axillary, 27 cases through basilic vein. 2 cases completed TPN treatment with a second try of PICC. The shortest indwelling time of PICC was 3 days, the longest was 34 days. Catheter blockage happened in 1 case, leakage in 1 case, and catheter-related infections in 1 case. Conclusions Difficulty exists in application of PICC in infants, but the complications were less. The tube can be retained for a long time, which conforms to higher intravenous nutrition requirement of infants, and this method possesses wide application perspective.
出处
《中国实用护理杂志》
北大核心
2014年第2期31-33,共3页
Chinese Journal of Practical Nursing
关键词
经外周穿刺中心静脉置管术
婴幼儿
肠外营养
观察
护理
Peripherally inserted central catheter
Infant
Parenteral nutrition
Observations
Nursing
