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IR@PKUHSC  > 北京大学第三临床医学院  > 儿科  > 期刊论文
学科主题: 儿科学
题名:
早产儿应用经外周静脉置人中心静脉导管非正常拔管的原因
其他题名: Causes of non-elective removal of percutaneously inserted central venous catheters in premature infants
作者: 刘惠丽; 韩彤妍; 郑粤吟
关键词: 早产儿 ; 经外周静脉置人中心静脉导管 ; 拔管 ; Premature infants ; Peripherally inserted central catheter ; Catheter removal
刊名: 中国临床营养杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.1674-635X.2009.02.016
卷: 17, 期:2, 页:117-119
文章类型: Journal Article
摘要: 目的 分析早产儿经外周静脉置人中心静脉导管(PICC)术后非正常拔管的原因.方法 回顾性分析了104例应用PICC导管早产儿的临床资料,对其非正常拔管原因进行分析.结果 104例早产儿中,93例(89.4%)为正常拔管,11例(10.6%)为非正常拔管.非正常拔管组患儿PICC管尖端位于锁骨下静脉比例明显高于正常拔管组患儿(X2=24.931,P=0.000).非正常拔管组患儿的平均置管长度为(8.4±2.2)cm,明显低于正常拔管组的(10.2±1.6)cm(t=3.391,P=0.001).结论 导管尖端未达到腔静脉可能是导致PICC非正常拔管的主要原因. Objective To analyze the causes of non-elective removal of pereutaneously inserted central venous catheters (PICC) in premature infants. Methods We retrospectively collected the clinical data of 104 premature infants and analyzed the causes of non-elective removal of PICC. Results PICC was removed when the treatment was finished (n = 93, elective removal group) or due to complications ( n = 7, non-elective removal group). In non-elective removal group, the percentage of catheter tip located in the subclavian jugular was signifi-cantly higher in non-elective removal group than in the elective removal group (X2 = 24.931, P = 0. 000 ). The length of inserted catheter was ( 8.4 + 2.2 ) cm in the non-elective removal group and ( ( 10.2:1:1.6) cm in the elective removal group ( t = 3. 391, P = 0. 001 ). Conclusion The main cause of non-elective removal of cathe-ters in premature infants may be that catheter tip fails to reach the vena cava.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68953
Appears in Collections:北京大学第三临床医学院_儿科_期刊论文

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作者单位: 北京大学第三医院儿科,100083

Recommended Citation:
刘惠丽,韩彤妍,郑粤吟. 早产儿应用经外周静脉置人中心静脉导管非正常拔管的原因[J]. 中国临床营养杂志,2009,17(2):117-119.
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