摘要经外周置入的中心静脉导管(peripherally inserted central catheter,PICC),目前已经广泛应用于临床,为患者提供了一条便捷、安全和有效的静脉通路,可减少反复静脉穿刺给患者带来的痛苦。常规置管后即行X线检查以了解导管尖端的位置。导管尖端的理想位置在上腔静脉的下1/3处,靠近上腔静脉与右心房的连接处[1];不在此位即为导管异位。据报道,
1Hoffer EK, Borsa J, Santulli P, et al. Prospective randomized comparison of valved versus nonvalved peripherally inserted central vein catheters[J]. Am J Roeutgenol,1997,173(5) :1393-1398.
10Mitsnfuii N, Matsuo K, Kakita S, et al. Extravascular collection of fluid around the vertebra resulting from malpesitioning of a peripherally inserted central venous catheter in extremely low birth weight infants [J ].Perinat Med,2002,30(4) : 341-344.