耐高压经外周静脉置入中心静脉导管10例应用体会

Ten cases of application experience of a high.pressure-resistant peripherally inserted central catheter

目的通过对北京协和医院10例耐高压注射型经外周静脉置人中心静脉导管置管方法、维护及导管使用的临床观察，探讨导管的特点及安全性。方法10例患者采用超声引导下塞丁格技术分别置入4Fr单腔、5Fr双腔、6Fr三腔耐高压注射型经外周静脉置人中心静脉导管，评估治疗效果。结果10例患者成功上臂置管，常规维护，并发症较少。结论导管耐高压注射、能够进行中心静脉压监测，流速快，可以满足临床加强CT造影及大量补液的需求。

Objective To summarize the placement, maintenance, and safety of a high-pressure resistant peripherally inserted central catheter. Methods Ten patients were peripherally placed with this catheter （ included 4Fr-single lumen, 5Fr-dual lumen, and 6Fr-three lumen） using ultrasound-guided Seldinger technique in Peking Union Medical College Hospital in August 2010. The therapeutic effectiveness and safety were evaluated. Result Ten catheters were inserted successfully into the upper arms, with few complications noted during routine maintenance. Conclusions This peripherally inserted central catheter can be used for high-pressure injection, central venous pressure monitoring, and fast flow-speed transfusion. Therefore, it can be successfully applied for contrastenhanced CT angiography and massive fluid infusion.