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目的分析经外周导入中心静脉置管(PICC)在新生儿化脓性脑膜炎的临床应用及护理情况。方法 15例新生儿化脓性脑膜炎患儿作为研究对象,全部患儿均给予PICC穿刺,行万古霉素联合注射用哌拉西林钠他唑巴坦钠(特治星)q.8 h.治疗,并给予针对性的护理,对穿刺及护理效果进行观察记录。结果全部15例患儿中,14例患儿穿刺成功,1例患儿因肥胖而穿刺失败。穿刺成功患儿中2例经头部右颞浅静脉穿刺,2例经右腋下静脉穿刺,10例经右贵要静脉穿刺。有2例患儿发生堵管,经成功溶栓后继续使用。留置时间为12~46 d。结论在新生儿化脓性脑膜炎中,应用PICC置管能有效避免反复穿刺对患儿造成的痛苦,为治疗的顺利开展提供有效通道,配合针对性的护理效果较好,具有临床推广和应用价值。
Objective To analyze the clinical application and nursing status of peripherally inserted central venous catheter (PICC) in neonatal purulent meningitis. Methods Fifteen neonates with purulent meningitis were enrolled in this study. All children were given PICC puncture and received vancomycin combined with piperacillin-tazobactam sodium (TIC) q.8 h. , And give targeted care, the puncture and nursing effects were observed and recorded. Results Of the 15 children, 14 had a successful puncture and 1 had failed puncture due to obesity. Two children with successful puncture were punctured by the right superficial temporal vein in the head, two punctured by the right armpit, and ten punctured by the right vein. Two cases of occlusion occurred in children, after successful thrombolysis continue to use. Leave time for 12 ~ 46 d. Conclusion In neonatal purulent meningitis, the application of PICC catheter can effectively prevent the pain caused by repeated puncture in children, to provide an effective channel for the smooth development of treatment, with targeted care is better, with clinical promotion and application value .