极低出生体重儿经PICC导管输液并发症护理观察

Nursing and observation of complications in very low birth weight infants with peripherally inserted central catheter

目的总结408例低出生体重儿经肘部和肘部下行静脉留置PICC导管输液并发症观察及护理。方法分析2008-01/2013-06中国医科大学附属盛京医院新生儿科的低出生体重儿408例在输液过程中出现的静脉炎、肿胀、堵管、感染等并发症的原因。并采取0.1%雷夫诺尔湿敷、水胶体敷料贴敷、保持穿刺侧上臂稳定体位等护理措施,减少静脉输液并发症发生。结果本组除12例因并发症加重拔管外。其余均按计划拔管。结论采取有效的护理措施和良好的PICC导管维护意识,是PICC导管输液安全的重要保障。

Objective To summarize the nursing and observation of complications occurring in 408 low birth weight infants with peripherally inserted central catheter（PICC）dwelled in the elbow vein or elbow downward vein.Methods Analyze the reasons of complications,such as phlebitis,swelling,blockage and infection.By giving 0.1% Rafe Nurto for wet dressing,applying hydrocolloid dressings,and keeping the punctured upper arm in steady position,we aimed to reduce the incidence rate of venous transfusion complications.Results All the catheters were removed as planed except 12 cases with severe complications.Conclusion Taking effective nursing measures and good understanding of PICC catheter maintenance is important to guarantee the infusion safety by PICC.