周围插入的中央静脉导管用于儿科急性白血病:回顾11年的单中心经验
Silvio Ligia1, Salvatore Giacomo Morano1, Francesca Kaiser1
1Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
The journal of vascular access
|July 6, 2023
概括
周围插入的中央导管 (PICC) 是安全有效的长期静脉输入在儿科急性白血病患者. 一个专门的团队确保可靠的使用,尽管潜在的并发症,如感染和血栓形成.
科学领域:
- 儿科血液学 儿科血液学
- 血管接入装置 血管接入装置
- 在瘤学瘤学.
背景情况:
- 周围插入的中央导管 (PICC) 越来越多地用于儿科瘤学.
- 在瘤患者中插入PICC存在诸如血栓形成,机械问题和感染等风险.
- 关于长期使用PICC在患有严重血液病的儿科患者的数据有限.
研究的目的:
- 评估PICCs在患有急性白血病的儿科患者的安全性和有效性.
- 在这个人群中评估PICC的并发症率和停留时间.
主要方法:
- 在129名患有急性白血病的儿科患者中插入的196个PICC的回顾性分析.
- 数据来自罗马萨皮恩扎大学儿童血液学科的数据.
主要成果:
- 平均PICC停留时间为190天.
- 整体并发症率为34%,包括导管相关的血流感染 (22%),导管相关的血栓形成 (3.5%),以及机械并发症 (9%).
- 由于并发症导致的过早切除发生在30%的病例中;据报道,有1人死于CRBSI.
结论:
- PICC是一种具有成本效益,安全和可靠的设备,用于在患有急性白血病的儿童中长期静脉注射.
- 一个专门的PICC团队对于成功实施至关重要.
- 这项研究代表了使用PICC的儿科急性白血病患者中最大的队列.
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