Rakza T, Bouissou A, Laffargue A, Fily A, Diependaele J F, Dalmas S
Pôle de médecine néonatale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France.
Arch Pediatr. 2008 Sep;15(9):1454-63. doi: 10.1016/j.arcped.2008.06.024. Epub 2008 Aug 9.
Central venous catheterizations are often used in pediatric intensive care units or for long-term intravenous treatment. It consists in positioning the catheter extremity in the venous cava-right atrium junction. Adapted material and techniques are necessary for young children because of particularities in anatomy and the size of the different venous trunks. The aim of this paper is to present the different material and techniques and to show the indications, complications and follow-up in central venous catheterization for young children.
中心静脉置管常用于儿科重症监护病房或长期静脉治疗。它是将导管末端置于腔静脉-右心房交界处。由于幼儿在解剖结构和不同静脉干大小方面的特殊性,需要采用适配的材料和技术。本文旨在介绍不同的材料和技术,并展示幼儿中心静脉置管的适应证、并发症及随访情况。