腹部肿瘤围手术期试用PICC导管胃肠外营养研究

目的 前瞻性研究外周静脉穿刺中心静脉导管临床应用的可行性。方法 分别对３３例和３０例腹部恶性肿瘤围手术期患者,随机应用了经肘部静脉穿刺置入ＰＩＣＣ导管和经锁骨下静脉穿刺上腔静脉置管,实施胃肠外营养,比较两种导管的优劣。结果 ＰＩＣＣ置管组与锁骨下静脉穿刺上腔静脉穿刺置管组相比,两组置管成功率基本相似,均无导管阻塞发生,且ＰＩＣＣ置管组无严重穿刺并发症,无中途脱管现象,导管留置时间较长（Ｐ〈０．０５

Perioperative use of peripherally inserted central catheter for parenteral nutrition in patients with abdominal malignancy

OBJECTIVE: To evaluate the use of peripherally inserted central catheter(PICC) in perioperative patients with abdominal malignancies for parenteral nutrition. METHODS: PICC was performed in 33 patients while subclavicular vein insertion in 30 patients for comparison in order to analyse prospectively the advantages and disadvanges of PICC. RESULTS: There was no difference in the rate of success of catheter placement and infection between PICC and the "subclavicular" insertion (P > 0.05), but PICC had significantly longer indwelling time than that of the "subclavicular" insertion (P < 0.05). There were less risks associated with PICC insertions, but the flow rate of was lower(p < 0.05). CONCLUSIONS: PICC can be widely used on account of its longer indwelling time, easy and safe insertion.