218 例儿科经外周静脉置入中心静脉导管置管相关并发症分析及预防处理对策
| 作者: |
1俞群,
2唐春燕,
2王琛,
1赵慧莉
1 上海交通大学医学院附属新华医院护理部，上海 200092 2 上海交通大学医学院附属新华医院儿科，上海 200092 |
| 通讯: |
赵慧莉
Email: huilizjt08@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.11.033 |
| 基金: | 上海市护理学会科研课题, 2015MS-B17 |
摘要
目的：探讨经外周静脉置入中心静脉导管(peripherally inserted central catheter，PICC)在儿科患者应用中出现的常见并发症及预防处理对策对策，以期减少并发症的发生。方法：对我院儿科218例行PICC患者进行调查，分析其相关并发症，同时总结预防处理对策。结果：218例患儿均置管成功，置管后39例出现了置管相关并发症(12例导管出现2种以上并发症)，其发生率为23.4%(51/218)，其中静脉炎发生率最高，发生率为18(8.3%)；非计划性拔管、导管堵塞、导管异位及导管相关血流感染发生率分别为12(5.5%)、7(3.2%)、6(2.8%)、5(2.3%)。结论：加强小儿PICC的围手术期护理和有效干预，对并发症进行积极有效的处理，可延长置管时间，减少并发症的出现。
关键词：
经外周静脉置入中心静脉导管
儿科
并发症
预防处理对策
The research of peripherally inserted central catheter-related complications in 218 pediatric patients and nursing countermeasures
CorrespondingAuthor: ZHAO Huili Email: huilizjt08@sina.com
DOI: 10.3978/j.issn.2095-6959.2016.11.033
Abstract
Objective: To explore the common peripherally inserted central venous catheter (PICC)-related complications in the pediatric patients and put forward preventions and management of complications so as to reduce the incidence of the complications. Methods: The clinical data of 218 cases of pediatric patients who received the venous transfusion with the PICC catheter technique were investigated, the related complications were analyzed, and the preventions and management of complications were summarized. Results: All of the 218 pediatric patients were catheterized successfully, and after the catheterization, there were 39 cases with complications (12 cases with two or more complications); 18 cases with phlebitis, 12 cases with no planed drawing, 7 cases with catheter drift, 6 cases with catheter displacement, and 5 cases with catheter related blood stream infection. Conclusion: The mature PICC catheterization system and preventions can effectively reduce the incidence of PICC-related complications and correct management of complications can positively treat complications, prolong the maintain time of insertion.