1例24周超早产儿PICC胸腔渗液原因分析及护理对策
Causal analysis and measures of chest exudation of PICC catheter in a 24-week extremely preterm infant
程莉萍 1席延荣 2施金芬2
作者信息
- 1. 解放军总医院第七医学中心新生儿科,北京 100700
- 2. 解放军总医院第七医学中心护理部,北京 100700
- 折叠
摘要
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.
Abstract
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.
关键词
超早产儿/经外周静脉置入中心静脉导管/胸腔渗液/尖端位置/护理Key words
extremely preterm infant/peripherally inserted central catheter/pleural effusion/tip position/nursing引用本文复制引用
基金项目
中国人民解放军总医院军事医学科研项目(QNF19047)
出版年
2024
NETL
NSTL
万方数据