原位置换 PICC 在老年患者中的应用

Application of in situ displacement of peripherally inserted central catheter in elderly patients

  • 摘要: 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。

     

    Abstract: 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.

     

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