临床实践中PICC的危险:与外围插入的中心导管相关的并发症和预防建议-叙述性综述
Benjamin Kalma1, André van Zundert2,3
1Department of Intensive Care, Royal Brisbane and Women's Hospital, Brisbane, QLD 4006, Australia.
Healthcare (Basel, Switzerland)
|August 28, 2025
概括
周围插入的中央导管 (PICC) 经常出现并发症,超过其他中央静脉接入方法. 患者的危险因素如高BMI和恶性瘤增加PICC并发症率,需要仔细评估和优化策略.
科学领域:
- 血管接入装置
- 医疗设备的并发症
- 癌症患者护理
背景情况:
- 由于易于使用和安全性,外围插入的中央导管 (PICC) 越来越多地被用于瘤学.
- 尽管有好处,但PICC存在风险,包括血流感染,血栓,栓塞和错位.
研究的目的:
- 审查与外围插入中心导管 (PICC) 相关的并发症的发生率和预测因素.
主要方法:
- 使用PubMed进行了文献综述,包括随机对照试验,系统综述和2015-2025年的元分析.
- 搜索词包括"外围插入的中央导管"",皮肤通道的中央导管"",PICC"",并发症".
主要成果:
- PICC插入并发症发生在1. 1% 的病例中,CLABSI发生在1. 4- 1. 9% 和静脉血栓栓塞 (包括PE) 发生在2. 3- 5. 9% 中.
- 整体PICC并发症率在9. 5-38. 6%之间,高于中央插入的器件.
- 预测并发症的因素包括高BMI,糖尿病,慢性功能衰竭和恶性瘤.
结论:
- PICC并发症很常见,可能导致严重的发病率和死亡率.
- 与其他中央静脉接入方法相比,并发症率更高.
- 对患者的风险因素评估和优化对于降低PICC并发症率至关重要.
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