静脉学辅助在外围插入的中央导管放置在儿童患者:一个案例报告
Yusuke Tokuda1,2, Hiro Nakao2, Shintaro Morooka2
1Department of Critical Care Medicine, National Center for Child Health and Development, Tokyo, JPN.
Cureus
|September 23, 2025
概括
周围插入的中央导管 (PICC) 对于儿科长期IV接入至关重要. 静脉学有助于在患有静脉狭窄症的儿童中成功安置PICC,克服了插入的挑战.
科学领域:
- 儿科医学 儿科医学
- 血管接入 血管接入
- 干预性放射学 干预性放射学
背景情况:
- 周围插入的中央导管 (PICC) 在儿科患者中广泛用于长时间的静脉注射治疗.
- 常见的并发症包括肺胸病和血胸病,但静脉狭窄或闭塞可能会阻碍导管的推进.
研究的目的:
- 报告一个儿童病例,因为静脉狭窄而挑战了外围插入的中央导管放置.
- 突出静脉学在克服这种插入困难方面的实用性.
主要方法:
- 一名患有十字骨髓炎的儿科患者需要长时间的抗生素,接受了外周插入的中央导管安置.
- 最初的尝试遇到了阻力;进行了静脉检查以确定原因.
- 将导线操纵到专利容器中,引导成功插入导管.
主要成果:
- 静脉检查揭示了显著的静脉狭窄,作为在外周插入的中央导管推进过程中抵抗的原因.
- 在导线重定向后,成功地实现了外围插入的中央导管放置.
- 患者通过成功放置的导管接受了必要的长期抗生素治疗.
结论:
- 静脉学辅助在治疗儿科患者因静脉狭窄引起的外周插入中央导管插入失败时是有价值的.
- 这种技术可以为复杂的治疗提供必要的血管接入.
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