Application of Power PICC in treatment of patients with severe acute pancreatitis and related nursing
-
摘要: 目的 探讨耐高压外周穿刺中心静脉导管(Power PICC)作为一种新型的血管通路在重症急性胰腺炎(SAP)治疗中的应用及其护理.方法 回顾性分析18例SAP患者的临床资料,其中8例行Power PICC,其余10例行中心静脉置管(CVC),比较2组患者在导管相关并发症及留置时间方面的差异.结果 Power PICC组导管平均留置时间为49.5 d,并发症发生率仅为10％;CVC组导管平均留置时间为25.4 d,并发症发生率为30％,且出现导管堵塞、导管相关性感染等严重并发症.在导管相关并发症及留置时间方面,Power PICC组均优于CVC组.结论 Power PICC是SAP治疗过程中血管通路的理想选择.
-
-
Baioceo G G, da Silva J L. The use of the peripherally inserted central catheter (PICC) in the hospital environment [J]. Rev Lat Am Enfermagem, 2010.1131. 中华医学会外科学分会胰腺外科学组. 重症急性胰腺炎诊治指南 [J]. {H}中华外科杂志, 2007, (11):727.doi: 10.3760/j.issn:0529-5815.2007.11.004. Fluit A C, Schmitz F J, Verhoef J. Frequency of isolation of pathogens from bloodstream, nosocomial pneumonia, skin and soft tissue, and urinary tract infections occurring in European patients [J]. {H}European Journal of Clinical Microbiology & Infectious Diseases, 2001.188. Fridkin S K, Gaynes R P. Antimicrobial resistance in intensive care units [J]. {H}CLINICS IN CHEST MEDICINE, 1999.303. Dimick J B, Pelz R K, Consunji R. Increased resource use associated with catheter-related bloodstream infection in the surgical intensive care unit [J]. {H}Archives of Surgery, 2001.229. Paz-Fumagalli R, Miller YA, Russell B A. Impact of peripherally inserted central catheters on phlebitic complications of peripheral intravenous therapy in spinal cord injury patients [J]. {H}Jouenal of spinal cord medicine, 1997.341. Bae, Kyongtae T. Technical aspects of contrast delivery in advanced CT [J]. Supplement to Applied Radiology, 2003, (12). Latham H E, Rawson S T, Dwyer T T. Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoring [J]. {H}Journal of Clinical Monitoring and Computing, 2012.85.
计量
- 文章访问数: 148
- HTML全文浏览量: 30
- PDF下载量: 9
下载:
苏公网安备 32100302010246号