中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2010年
1期
16-18
,共3页
经外周静脉置入中心静脉导管%超声引导%老年患者
經外週靜脈置入中心靜脈導管%超聲引導%老年患者
경외주정맥치입중심정맥도관%초성인도%노년환자
Peripherally inserted central catheter%Ultrasound-guided%Elderly patient
目的 分析超声引导下经外周静脉置入中心静脉导管(PICC)置管术在老年患者中应用的置管成功率和并发症的发生率.方法 37例有PICC置管适应证的老年患者,其中18例(48.6%)肘部没有可见或可触及的浅静脉,选择上臂深静脉,采用超声引导下改良的Seldinger穿刺法进行PICC置管,分析置管成功率和并发症发生率.结果 37例老年患者,超声引导下PICC置管成功率为100%.PICC管留置时间为(32.0±19.8)d,2例(5.8%)患者分别在置管后第21和39天因为静脉血栓形成而拔管,18例(48.6%)患者的PICC仍在使用.结论 应用超声引导技术,使部分肘部无可见或可触及浅静脉的老年患者也能安全置入PICC.
目的 分析超聲引導下經外週靜脈置入中心靜脈導管(PICC)置管術在老年患者中應用的置管成功率和併髮癥的髮生率.方法 37例有PICC置管適應證的老年患者,其中18例(48.6%)肘部沒有可見或可觸及的淺靜脈,選擇上臂深靜脈,採用超聲引導下改良的Seldinger穿刺法進行PICC置管,分析置管成功率和併髮癥髮生率.結果 37例老年患者,超聲引導下PICC置管成功率為100%.PICC管留置時間為(32.0±19.8)d,2例(5.8%)患者分彆在置管後第21和39天因為靜脈血栓形成而拔管,18例(48.6%)患者的PICC仍在使用.結論 應用超聲引導技術,使部分肘部無可見或可觸及淺靜脈的老年患者也能安全置入PICC.
목적 분석초성인도하경외주정맥치입중심정맥도관(PICC)치관술재노년환자중응용적치관성공솔화병발증적발생솔.방법 37례유PICC치관괄응증적노년환자,기중18례(48.6%)주부몰유가견혹가촉급적천정맥,선택상비심정맥,채용초성인도하개량적Seldinger천자법진행PICC치관,분석치관성공솔화병발증발생솔.결과 37례노년환자,초성인도하PICC치관성공솔위100%.PICC관류치시간위(32.0±19.8)d,2례(5.8%)환자분별재치관후제21화39천인위정맥혈전형성이발관,18례(48.6%)환자적PICC잉재사용.결론 응용초성인도기술,사부분주부무가견혹가촉급천정맥적노년환자야능안전치입PICC.
Objective To explore the feasibility and complications of ultrasound-guided peripherally inserted central catheter (PICC) insertion in elderly patients. Methods Ultrasound-guided PICC insertion was performed in 37 elderly patients with modified Seldinger's technique. Eighteen (48.6%) patients had invisible or impalpable shallow veins in elbow joints. The post-insertion success rate and complications were analyzed. Results The success rate was 100% among these 37 elderly patients. The indwelling patency duration was (32.0 ± 19.8)days. Two catheters in 2 (5.8%) patients were removed on the 21st and 39th day because of deep venous thrombosis. PICCs remained in place in 18 (48.6%) cases. Conclusions Ustrasound-guided PICC insertion is a safe procedure with high success rate. It can also be applied in patient whose shallow vein is not visible or palpable in elbow joint.
