总结1例24周超早产儿(extremely preterm infant，EPI)经外周静脉穿刺中心静脉导管(peripherally inserted central catheter，PICC)后胸腔渗液原因及护理对策。我科于2022年2月收治1例EPI，留置PICC后第32天突发经皮血氧饱和度及心率下降，皮肤颜色呈灰白色，胸廓运动不明显，急查床旁X线胸片示右侧大量胸腔积液，PICC导管尖端位置由T4～T5上移至T1～T2，经胸腔穿刺抽液、拔除PICC导管处理，并予营养支持及系列精心护理。经过102d的治疗护理，患儿康复出院。EPI因PICC置管致胸腔渗液后应及时分析原因并进行总结，并探讨相应的护理措施及预防方案。
Causal analysis and measures of chest exudation of PICC catheter in a 24-week extremely preterm infant
To summary the cause and care measures of chest exudation of peripherally inserted central catheter(PICC)catheter through the right precious vein in a 24-week extremely preterm infant(EPI).One 24-week extreme-ly premature infant was placed with a PICC catheter through the right precious vein on the 32nd day,sudden percuta-neous oxygen saturation and heart rate decreased,the skin color was gray-white,the thoracic movement was not ob-vious,and the emergency bedside X-ray chest x-ray showed a large pleural effusion on the right side,the tip of the PICC catheter was moved up from T4-T5 to T1-T2,and the PICC catheter was removed through the chest puncture,and rehabilitation and discharge after nutritional support and careful care.The child was discharged from hospital af-ter 102 d.The causes of pleural effusion induced by PICC catheter in EPI should be analyzed in a timely manner and summarized,and the corresponding nursing measures and preventive plan should be discussed.
extremely preterm infantperipherally inserted central catheterpleural effusiontip positionnursing
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