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新生儿重症监护病房中的血管内导管并发症

Intravascular catheter complications in the neonatal intensive care unit.

作者信息

Hermansen Marcus C, Hermansen Mary Goetz

机构信息

Department of Pediatrics, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756-0001, USA.

出版信息

Clin Perinatol. 2005 Mar;32(1):141-56, vii. doi: 10.1016/j.clp.2004.11.005.

Abstract

Central and peripheral intravascular catheters serve many important functions for sick neonates; however, the use of these catheters also carries significant risk of permanent disability or even death. This article examines the risks of catheter-related thromboembolic events, vasospasm, and infection. The article also looks at risks that are specific to umbilical artery catheters, umbilical vein catheters, peripherally-inserted central catheters, peripheral artery catheters, and peripheral intravenous catheters. Specific recommendations are made to reduce the possibility of an intravascular catheter-related complication.

摘要

中心静脉导管和外周血管内导管对患病新生儿起着许多重要作用;然而,使用这些导管也存在导致永久性残疾甚至死亡的重大风险。本文探讨了与导管相关的血栓栓塞事件、血管痉挛和感染的风险。本文还研究了脐动脉导管、脐静脉导管、外周静脉穿刺中心静脉导管、外周动脉导管和外周静脉导管特有的风险。文中提出了具体建议,以降低血管内导管相关并发症的发生可能性。

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