Progress of central venous catheter placement via superficial venous puncture in very low birth weight infants

doi:10.3761/j.issn.0254-1769.2025.13.006

Abstract

Abstract:

Epicutaneo-cava catheters（ECC） placement plays an important role in fluid management，drug therapy and nutritional support in very low birth weight infants（VLBWI）. This study reviews the selection of ECC catheters，preparation for ECC catheterization，catheterization procedures，catheter positioning and tracking，and revelations and recommendations in light of the clinical needs of VLBWI，with the aim of optimizing the clinical management of VLBWI，increasing the success rate of ECC catheterization in NICUs，decreasing the risk of complications，improving the prognosis of the children，and enhancing the quality of their clinical care.

Key words: Preterm Infants, Very Low Birth Weight Infants, Neonatal Intensive Care Unit, Epicutaneo-Cava Catheters, Vascular Access, Neonatal Nursing

摘要：

经浅表静脉穿刺中心静脉导管（epicutaneo-cava catheters，ECC）置管在极低出生体重儿（very low birth weight infant，VLBWI）液体管理、药物治疗及营养支持等方面发挥着重要作用。该研究结合VLBWI的临床需求，对ECC穿刺导管的选择、置管前准备、置管操作流程、导管的定位及追踪等方面进行综述，并提出相关建议，旨在优化VLBWI的临床管理，提升新生儿重症监护室医护人员ECC置管的成功率、降低并发症的发生风险，改善患儿预后，提升其临床护理质量。

关键词: 早产儿, 极低出生体重儿, 新生儿重症监护室, 经浅表静脉穿刺中心静脉导管, 血管通路, 新生儿护理学

XIAO Shilan, LUO Feixiang, SHEN Fei, SHANG Zhenru, WANG Qin. Progress of central venous catheter placement via superficial venous puncture in very low birth weight infants[J]. Chinese Journal of Nursing, 2025, 60(13): 1567-1572.

肖诗兰, 罗飞翔, 慎斐, 商祯茹, 王琴. 经浅表静脉穿刺中心静脉导管置管在极低出生体重儿中的应用进展[J]. 中华护理杂志, 2025, 60(13): 1567-1572.

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