摘要
目的观察在新生儿重症监护室应用经外周静脉穿刺置中心静脉置管(PICC)的应用效果。方法选取本院新生儿重症监护室收治的47例患儿,所有患儿均应用经外周静脉穿刺置中心静脉置管。结果 1例先天性脑发育不良患儿病情未见改善,治疗无效率为2.13%,其余46例患儿病情得到明显改善,治疗有效率为97.87%。1例患儿穿刺失败,2例患儿局部渗血,1例患儿导管堵塞,1例患儿静脉炎,2例患儿感染,共7例患儿出现并发症,总发生率为14.89%。结论在新生儿重症监护室应用经外周静脉穿刺至中心静脉置管能够减轻长期输液给患儿带来的痛苦,可有效抑制静脉炎、感染等各类并发症,可减少组织坏死、药液外渗等不良反应。
Objective To observe the application effect of peripheral venous catheterization(PICC)in neonatal intensive care unit. Methods Forty-seven cases were enrolled in neonatal intensive care unit in our hospital. All children were treated with peripheral venipuncture catheterization. Results One case of congenital brain dysplasia was not improved,the treatment efficiency was 2.13%,the remaining 46 cases improved significantly,and the effective rate was 97.87%. One patient failed to puncture,2 cases with local blood seepage,1 patient with catheter blockage,1 patient with phlebitis,2 cases of infective infection,7 children with complications,and the total incidence rate was 14.89%. Conclusion The application in neonatal intensive care unit via peripheral venous puncture to central venous catheter can reduce long-term transfusion to the pain of children,which can effectively inhibit phlebitis,and other kinds of complications of infection,can reduce the adverse reactions such as tissue necrosis,solution exosmosis.
出处
《大医生》
2018年第4期140-141,共2页
Doctor
