摘要
目的分析早产儿经外周静脉置入中心静脉导管（PICC）术后非正常拔管的原因。方法回顾性分析了104例应用PICC导管早产儿的临床资料，对其非正常拔管原因进行分析。结果104例早产儿中，93例（89．4％）为正常拔管，11例（10．6％）为非正常拔管。非正常拔管组患儿PICC管尖端位于锁骨下静脉比例明显高于正常拔管组患儿（x2=24．931，P=0．000）。非正常拔管组患儿的平均置管长度为（8．4±2．2）cm，明显低于正常拔管组的（10．2±1．6）em（t=3．391，P=0．001）。结论导管尖端未达到腔静脉可能是导致PICC非正常拔管的主要原因。
Objective To analyze the causes of non-elective removal of percutaneously inserted central venous catheters （PICC） in premature infants. Methods We retrospectively collected the clinical data of 104 premature infants and analyzed the causes of non-elective removal of PICC. Results PICC was removed when the treatment was finished （ n = 93, elective removal group） or due to complications （ n = 7, non-elective removal group）. In non-elective removal group, the percentage of catheter tip located in the subclavian jugular was signifi- candy higher in non-elective removal group than in the elective removal group （X2 = 24. 931, P = 0. 000）. The length of inserted catheter was （8.4 ±2.2） cm in the non-elective removal group and （ （ 10. 2 ± 1.6） cm in the elective removal group （ t = 3. 391, P = 0. 001 ）. Conclusion The main cause of non-elective removal of cathe- ters in premature infants may be that catheter tip fails to reach the vena cava.
出处
《中华临床营养杂志》
CAS
2009年第2期117-119,共3页
Chinese Journal of Clinical Nutrition
关键词
早产儿
经外周静脉置入中心静脉导管
拔管
Premature infants
Peripherally inserted central catheter
Catheter removal
