Abstract:

The PICC catheterization and post-catheterization nursing of 6 neonates with persistent left superior vena cava were conducted. Key points of care included：choose the right time to insert the catheter;the image data of neonates were analyzed retrospectively before catheterization;measure the length of body surface correctly;under the guidance of ultrasound, the tip of the PICC catheter was indwelled in the lower third of the persistent left superior vena cava;the use of PICC catheters should be closely observed,early identification of PICC-related complications and appropriate treatment;establish special case files to ensure the safe use of PICC in neonates with persistent left superior vena cava. Six cases of PICC were scheduled to be removed after 10-21 days of indwelling,no PICC-related complications occurred during the indwelling period.

Key words: Persistent Left Superior Vena Cava, Vascular Malformations, Peripherally Inserted Central Catheter, Neonatal Nursing

摘要：

对6例永存左上腔静脉新生儿进行PICC置管及置管后护理。护理要点包括：合理选择置管时机,置管前回顾分析患儿的影像学资料,正确测量体表长度,在B超引导下将PICC导管尖端留置在左上腔静脉的中下1/3处;导管使用过程中密切观察,早期识别PICC相关并发症并做好相应处理;建立特殊病例档案,保证永存左上腔静脉新生儿PICC的安全使用。6例PICC导管留置10~21 d后按计划拔管,留置期间均未出现PICC相关并发症。

关键词: 永存左上腔静脉, 血管畸形, 经外周中心静脉置管, 新生儿护理