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目的探讨危重幼儿彩超引导下经股静脉行4Fr经外周静脉置入中心静脉导管(PICC)置管临床运用。方法 3例危重脑外伤幼儿彩超引导下经股静脉行4Fr PICC置管治疗,由取得PICC置管培训证护士进行操作,在取得家属知情同意下进行操作。置管后进行X线摄片,确定导管尖端的位置在下腔静脉,采用正确的换药方法和封管方法 ,加强导管的护理。结果 3例患者的PICC留置时间为15~30 d,穿刺后未出现静脉炎、导管相关感染等并发症。结论危重幼儿经股静脉行4Fr PICC置管,能在短时间内建立安全、迅速、可靠的血管通路,为危重幼儿抢救,治疗起到关键作用。
Objective To investigate the clinical application of 4Fr transcatheter catheterization of central venous catheter (PICC) via the femoral vein under the guidance of color Doppler ultrasound in critically ill children. Methods 3 cases of critical traumatic brain injury under the guidance of color Doppler ultrasound through the femoral vein line 4Fr PICC catheterization, obtained by the PICC catheter training nurses to operate, with the family informed consent to operate. X-ray tube after catheterization to determine the location of the catheter tip in the inferior vena cava, using the correct dressing method and sealing method to enhance catheter care. Results The PICC indwelling time was 15-30 days in 3 patients. There were no complications such as phlebitis and catheter-related infection after puncture. Conclusion Serious children through the femoral vein line 4Fr PICC catheter, in a short period of time to establish safe, rapid and reliable vascular access, for critical care and rescue, treatment plays a key role.