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首页> 外文期刊>Radiology >Peripherally inserted central catheters in children.
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Peripherally inserted central catheters in children.

机译：小儿周围插入中央导管。

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摘要

PURPOSE: To assess the feasibility and complications of peripherally inserted central catheters (PICCs) in pediatric patients. MATERIALS AND METHODS: The authors attempted to place PICCs in 122 patients aged 9 days to 19 years (mean, 6.82 years; median, 5 years). Catheters were placed to allow prolonged administration of antibiotics or chemotherapeutic agents (n = 50), provide total parenteral nutrition (n = 41), and establish prolonged intravenous access for blood draws and fluid administration (n = 31). Silicone catheters measuring 3, 4, and 5 F were inserted in either basilic or cephalic veins and positioned at the junction of the superior vena cava and right atrium under fluoroscopic guidance. Patients were monitored for complications until devices were removed. RESULTS: Fluoroscopically guided PICC placement was successful in 137 of 148 attempts. Postinsertion complications included mechanical defects of the catheter, PICC-related infection, occlusion of the PICC, and venous stasis. Complications occurred at a rate comparable to those seen with blind insertion. CONCLUSION: Fluoroscopically guided PICC placement is feasible and safe in pediatric patients.
机译：目的：评估在儿科患者中外周插入中央导管（PICC）的可行性和并发症。材料与方法：作者试图在122例9天至19岁（平均6.82岁;中位数5岁）的患者中放置PICC。放置导管以允许长期施用抗生素或化学治疗剂（n = 50），提供全部肠胃外营养（n = 41），并建立延长的静脉内抽血和输液（n = 31）。将尺寸为3、4和5 F的硅胶导管插入到基底静脉或头静脉中，并在荧光镜引导下放置在上腔静脉和右心房的交界处。监测患者的并发症直至移除器械。结果：在148次尝试中，有137次成功通过荧光镜引导的PICC放置成功。插入后并发症包括导管的机械缺陷，PICC相关的感染，PICC的阻塞和静脉淤滞。并发症的发生率与盲目插入的情况相当。结论：荧光引导下PICC置入在小儿患者中是可行和安全的。

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