CAJ | 학술논문

目的：探讨解决为艾滋病患者建立一条安全静脉输液途径，同时降低医护人员职业暴露风险。方法总结应用22 G直型安全型留置针穿刺结合改良塞丁格技术成功经外周置入中心静脉导管（PICC）60例艾滋病患者的临床资料。结果置管成功率98.33%（59/60），无1例发生职业暴露，无1例发生严重并发症。结论无血管超声引导的情况下，应用22 G直型安全型留置针穿刺结合改良改良塞丁格技术为艾滋病患者置入PICC导管，置管成功率高，医护人员职业暴露风险小。
목적：탐토해결위애자병환자건립일조안전정맥수액도경，동시강저의호인원직업폭로풍험。방법총결응용22 G직형안전형류치침천자결합개량새정격기술성공경외주치입중심정맥도관（PICC）60례애자병환자적림상자료。결과치관성공솔98.33%（59/60），무1례발생직업폭로，무1례발생엄중병발증。결론무혈관초성인도적정황하，응용22 G직형안전형류치침천자결합개량개량새정격기술위애자병환자치입PICC도관，치관성공솔고，의호인원직업폭로풍험소。
Objective To explore the establish of a secure route intravenous infusion for the AIDS patients, and reduce the risk of occupational exposure to healthcare workers. Methods The clinical data of 60 patients with AIDS who were received successfully PICC implantation using 22 G straight safe indwelling needle combined with modiifed teldinger technique were analyzed. Results The rate of the successfully PICC implantation was 98.33% (59/60), no case occured complications and occupational exposure. Conclusions In the case of non-vascular ultrasound, the rate of the successfully PICC implantation was high, when application of PICC implantation using the safety indwelling catheter puncture combined with modiifed Seldinger technique in AIDS patients, and the risk of the occupational exposure was low.