| 超声定位在早产儿PICC置管术中的应用价值 |
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| 引用本文： | 唐仕芳,薛莹,朱恋,金小林,马娟. 超声定位在早产儿PICC置管术中的应用价值[J]. 当代医学, 2021, 27(11): 98-101. DOI: 10.3969/j.issn.1009-4393.2021.11.040 |
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| 作者姓名： | 唐仕芳 薛莹 朱恋 金小林 马娟 |
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| 作者单位： | 重庆北部宽仁医院儿科,重庆 401121;陆军特色医学中心儿科,重庆 400042;重庆医科大学附属第三医院(捷尔医院),重庆 401120;重庆北部宽仁医院儿科,重庆 401121;陆军特色医学中心儿科,重庆 400042 |
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| 摘 要： | 目的 探讨超声在早产儿经外周静脉置入中心静脉导管(PICC)定位中的应用价值.方法 回顾性分析2017年8月至2019年6月大坪医院儿科收治的216例PICC置管超声定位早产儿的临床资料.所有PICC放置后的早产儿即行超声定位,如果PICC尖端位置位于下/上窦房结,则确认PICC放置成功.其中43例早产儿超声定位检查后...
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| 关 键 词： | 经外周静脉置入中心静脉导管 超声 导管尖端定位 早产儿 |
A randomized controlled study of ultrasound localization in PICC catheterization of newborn infants |
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| TANG Shifang,XUE Ying,ZHU Lian,JIN Xiaolin,MA Juan. A randomized controlled study of ultrasound localization in PICC catheterization of newborn infants[J]. Contemporary Medicine, 2021, 27(11): 98-101. DOI: 10.3969/j.issn.1009-4393.2021.11.040 |
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| Authors: | TANG Shifang XUE Ying ZHU Lian JIN Xiaolin MA Juan |
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| Affiliation: | (Department of Pediatrics,North-Kuanren General Hospital,Chongqing,401121,China;Department of Pediatrics,Hospital of Army Medical University,Chongqing,400038,China;The Third Affiliated Hospital of Chongqing Medical University,Chongqing,401120,China) |
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| Abstract: | Objective To study the efficiency of ultrasound for positioning the catheter tip in the placement of peripherally inserted central catheter(PICC)in neonates.Methods The clinical data of 216 cases of premature infants with PICC catheterization were retrospectively analyzed from August 2017 to June 2019 in Pediatrics department of Daping Hospital.Ultrasonic localization was performed immediately after PICC placement in all neonatal patients.Successful PICC placement was confirmed if the PICC tip position was located at the inferior/superior cavoatrial junction.Chest X-ray localization was performed on 43 infants immediately after ultrasound examination to compare the accuracy of ultrasound localization.Results Of the 216 patients,200(92.6%)cases had successful PICC placement on the first attempt.16 cases(7.6%)were placed beyond the ideal position:6 cases were too deep(right atrium),6 cases were too shallow,and 4 cases were incorrect.Both the sensitivity and the specificity of ultrasound for identifying PICC tip localization were 100%.The incidence of complications was 6.5%.Conclusion Ultrasonic localization of the PICC tip position is a timely,accurate,and reliable method and can identify the catheter tip with high accuracy.This method could be widely applied in neonatal wards. |
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| Keywords: | Peripherally inserted central catheter Ultrasound Catheter tip positioning Premature infants |
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