Pokorny W J, Black C T, McGill C W, Splaingard M L, Harrison G M, Harberg F J
Am Surg. 1987 Sep;53(9):524-7.
This report discusses the safety of 89 cuffed, Silastic (Dow Corning, Midland, MI) catheters placed in children between the ages of 1 and 18, a group that may be considered high risk on the basis of age. The overall complication rate was once every 288 days, three times more often than in published results in adults, but less often than in other pediatric series. The sepsis rate of once each 1236 days was almost twice the adult rate. Thirty (35%) of the catheters were used at home, accounting for 85 per cent of the total catheter use. Among this group, the overall complication rate was only once every 815 days, three times less frequent than in comparable adult series. The complication rate due to sepsis was once each 2444 days, the same as noted in adults. Whereas these catheters may be more hazardous overall in this age group, home usage appears to be safer than expected. These catheters are well accepted by this age group and their use, particularly among outpatients, should not be restricted for fear of an unacceptably high complication rate.
本报告讨论了89根带套囊的硅橡胶（道康宁公司，密歇根州米德兰）导管在1至18岁儿童中的安全性，基于年龄，这一年龄组可能被视为高危群体。总体并发症发生率为每288天一次，比已发表的成人研究结果高出两倍，但低于其他儿科系列研究。败血症发生率为每1236天一次，几乎是成人发生率的两倍。30根（35%）导管用于家庭使用，占导管总使用量的85%。在这一组中，总体并发症发生率仅为每815天一次，比类似的成人系列研究低两倍。败血症导致的并发症发生率为每2444天一次，与成人研究结果相同。虽然这些导管在这个年龄组总体上可能更具危险性，但家庭使用似乎比预期更安全。这些导管在这个年龄组中很受欢迎，不应因担心并发症发生率过高而限制其使用，特别是在门诊患者中。
