重症监护病房危重症患者经外周静脉置入中心静脉导管一例

Placement of a peripherally inserted central catheter in a critically ill patients in intensive care unit： report of one case

目的 分享重症监护病房（ICU）危重症患者留置经外周静脉置入中心静脉导管（PICC）的经验.方法 收集并分析1例留置PICC的神经外科危重症患者的临床资料.结果 患者男,78岁,诊断＂急性Ⅰ型呼吸衰竭、 吸入性肺炎、 高血压、 脑梗死后遗症＂.外周血管穿刺多次失败,在超声引导下利用改良塞丁格穿刺技术成功留置PICC,并给予静脉营养支持.结论 为保护外周静脉,降低导管相关性感染的发生率,留置PICC在ICU是有效的措施之一.

Objective To share our experience in the placement of a peripherally inserted central cathe -ter （ PICC） in critically ill patients intensive care unit （ ICU） .Method The clinical data of a critically ill patient placed with PICC from neurosurgery department were collected and analyzed .Result A 78-year-old male patient diagnosed with＂type I respiratory failure , aspiration pneumonia , hypertension , and cerebral infarction sequelae＂ successfully received ultrasound-guided modified Seldinger puncture technique for PICC and was treated with intravenous nutrition after repeatedly vascular puncturing failure .Conclusion PICC placement is an effective method for patients in ICU to protect the peripheral vein and lower the incidence of catheter related in -fections.