超声引导下改良塞丁格技术在婴幼儿上臂PICC置管中的应用
Application of ultrasound-guided modified Seldinger technique for upper arm PICC insertion in ;infant patients
目的:探讨3岁以下患儿经超声引导下改良塞丁格技术PICC上臂置管的方法及经验。方法对27例3岁以下患儿采用超声引导下改良塞丁格技术行上臂PICC置管。结果27例患儿均置管成功,一次穿刺成功率为92.6%。结论通过充分的患儿准备、有效的固定、置管者的默契配合以及避免导管异位措施,克服患儿血管条件不良及不配合的缺陷,发挥了超声仪的优势,使患儿上臂PICC置管的成功率得到了提高,从而保护了患儿的血管。
更多Objective To explore the application of ultrasound- guide modified Seldinger technique for upper arm PICC insertion in infant patients. Methods Use the ultrasound-guide modified Seldinger technique to inserted PICC for 27 infant patients. Results All 27 cases were inserted successfully, success rate of the one puncture reached 92.6%. Conclusions By adequate preparation for infants, effective immobilization and good cooperation of operators, and combined with techniques which prevent PICC misplacement, overcome the shortcoming of bad vessel and non-compliance of infant patients, develop the advantage of ultrasound, could improve the rate of successful catheterization of upper arm PICC insertion in infant patients, and protect the vessels.
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