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find Keyword "经外周导入中心静脉置管" 2 results
  • The Role of Heparin in Prevention of Neonatal Catheter-related Complications in Peripherally Inserted Central Catheters

    Objective To investigate the role of low-dose heparin added to total nutrient admixture (TNA) solutions in the prevention of catheter related infections (CRIs). Methods One-hundred three newborn infants with periph-erally inserted central catheter (PICC) were divided into heparin group (n=63) and control group (n=40). The patients in the heparin group received TNA with 0.5 U/ ml heparin. The patients in the control group received TNA without heparin. We retrospectively analyzed the incidence of CRTs in the two groups. Results We found that the incidence of CRIs was 0 in the heparin group and 12.5% (5/40) in the control group. The incidence of catheter obstruction was 6.3% (4/63) in the heparin group and 20% (8/40) in the control group. The incidence of catheter-tip colonization was 1.58% (1/40) in the heparin group and 17.5% (7/40) in the control group. The incidences of CRIs, catheter obstruction, and catheter-tip colonization were signiicantly lower in the heparin group than those in the control group (Plt;0.05). Conclusion TNA solutions with 0.5U/ml heparin have decreased catheter obstruction and CRIs.

    Release date:2016-09-07 11:24 Export PDF Favorites Scan
  • 不同年龄阶段儿童经外周静脉置入中心静脉导管体表测量方法及相关因素探讨

    目的探讨不同年龄阶段儿童经外周静脉置入中心静脉导管(PICC)置管体表测量方法及相关因素。 方法将 2012 年 1 月-2014 年 3 月接受住院治疗的急性淋巴细胞白血病、淋巴瘤、实体瘤、地中海贫血、再生障碍性贫血及组织细胞增生症患儿共 255 例作为研究对象。其中男 137 例(53.7%),女 118 例(46.3%);年龄 6 个月~16岁,平均(6.33±3.76)岁;婴幼儿 48 例(18.8%),学龄前患儿 104 例(40.8%),学龄期及青春期患儿 103 例(40.4%),患儿均在进行化学治疗前安置 PICC 导管。婴幼儿组采取方法 1:术肢与躯干成 90°,自预穿刺点沿静脉走行至右胸锁骨关节的 PICC 置管长度体表测量方法;学龄前期组采取方法 2:术肢与躯干成 90°,自预穿刺点沿静脉走行至右胸锁骨关节再加 1 cm 的 PICC 置管长度体表测量方法;学龄期及青春期组采取方法 3:术肢与躯干成 90°,自预穿刺点沿静脉走行至右胸锁骨关节再加 2 cm 的 PICC 置管长度体表测量方法。比较每组预置长度与最适长度(最适长度 = 实际置入长度+PICC 尖端至上腔静脉下 1/3 段中点的垂直距离)之间的差异;同时分析影响 PICC 置管最适长度的相关因素。 结果婴幼儿组、学龄前期组患儿测得的预置长度与最适长度比较差异无统计学意义(P>0.05);学龄期及青春期组测得的预置长度与最适长度比较差异有统计学意义(P<0.05)。患儿身高、术肢臂围、穿刺侧、穿刺静脉、右侧第 1 胸肋结合处至上腔静脉注入右心房处的垂直距离(距离 1)5 个因素为影响最适长度的相关因素。 结论儿童 PICC 体表测量方法不应完全延用成人的测量方法,可运用方法 1、方法 2 分别对婴幼儿、学龄前期患儿组进行 PICC 置管前体表测量。

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