Welter H F, Wischhöfer E, Pfeifer K J, Bender-Götze C
Chirurg. 1987 Mar;58(3):166-71.
Right atrial Hickman catheters are used for long-term venous access in children suffering from leukemia and malignoma. Parenteral alimentation, blood withdrawal and bone marrow transplantation can be performed safely without high incidence of cutaneous infections and sepsis due to a long subcutaneous tunnel. Aseptic dressing changes and catheter care are the most important prerequisites for a low complication rate in the use of these catheters. Septicemia and technical complications observed following the use of 102 Hickman catheters in 81 children are reported and discussed.
右心房希克曼导管用于患有白血病和恶性肿瘤的儿童的长期静脉通路。由于有较长的皮下隧道,胃肠外营养、采血和骨髓移植可以安全进行,且皮肤感染和败血症的发生率不会很高。无菌更换敷料和导管护理是使用这些导管时并发症发生率低的最重要前提条件。本文报告并讨论了在81名儿童中使用102根希克曼导管后观察到的败血症和技术并发症。