CAJ | 학술논문

目的：探讨原位置换经外周静脉穿刺中心静脉置管（PICC）在老年患者中应用的可行性。方法选取行 PICC 需重新置管老年患者26例，均给予原位置换 PICC，观察患者的穿刺成功率，局部渗血、血肿形成等出血性并发症，以及静脉炎等导管相关并发症情况。结果所有患者均成功置换导管，X 线全胸片提示 PICC 导管末端位于 T6～T7水平下缘，位置正确。其中1次成功24例，2次成功2例，平均留置导管时间6～12个月，所有患者均未出现重度出血并发症、静脉血栓形成、空气栓塞等相关并发症。结论原位置换 PICC 操作简单、创伤小，可安全有效地应用于老年患者。
목적：탐토원위치환경외주정맥천자중심정맥치관（PICC）재노년환자중응용적가행성。방법선취행 PICC 수중신치관노년환자26례，균급여원위치환 PICC，관찰환자적천자성공솔，국부삼혈、혈종형성등출혈성병발증，이급정맥염등도관상관병발증정황。결과소유환자균성공치환도관，X 선전흉편제시 PICC 도관말단위우 T6～T7수평하연，위치정학。기중1차성공24례，2차성공2례，평균류치도관시간6～12개월，소유환자균미출현중도출혈병발증、정맥혈전형성、공기전새등상관병발증。결론원위치환 PICC 조작간단、창상소，가안전유효지응용우노년환자。
Objective To explore the feasibility of the in situ displacement of peripherally inserted central catheter (PICC)in elderly patients.Methods A total of 26 patients with PICC who needed new catheters were given in situ displacement of PICC.Successful rate of puncture, hemorrhagic complications (local errhysis and swelling formation)and catheter-associated compli-cations (phlebitis)were observed.Results All patients were successfully displaced catheters,and X-ray showed the end of PICC catheters were placed rightly on the inferior margin of T6~T7 levels, in which 24 patients were successes by the first surgery and 2 by the second one.The mean catheter stays was 6~12 months,and no patients had relevant complications like severe hemorrhagic compli-cations,venous thrombosis and air embolism,etc.Conclusion In situ displacement of PICC is sim-ple in operation and slight in trauma,which can be effectively and safely applied in elderly patients.