Rodríguez-Balderrama I, Rodríguez-Tamez A, Torres-Bernal J, Martínez-Segovia M A, Rodríguez-Bonito R, Quiroga-Garza A, Abrego-Moya V
Departamento de Pediatría, Hospital Universitario Dr. José Eleutério González, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, México.
Bol Med Hosp Infant Mex. 1993 Mar;50(3):162-6.
We present the results of one prospective study made it to evaluated central percutaneous catheters morbi-mortality in newborns critically sick ingresed in a Neonatal Intensive Care Unit (NICU). The total of 105 percutaneous catheter put it on in 97 newborns from one total 1554 catheter-days. We found in 53.3% were premature newborns, 74.2% weighted less than 2500 g, the femoral veins was used in 90%. The predominant morbidity at the moment of the colocations was respiratory problems, sepsis and mayor congenital malformation, the 30% the percutaneous catheter was had bacterial colonization when were retired; the catheter infection was 1.2 x 1000 catheter days. Our conclusion are the percutaneous catheter was the prime election to the vein access in the newborn critically stick, with low mortality rate during colocation and permanency, low sepsis incidence by catheter, and less quantity of venopunture stress and veins mutilation.
我们展示了一项前瞻性研究的结果，该研究旨在评估入住新生儿重症监护病房（NICU）的危重新生儿中心经皮导管的发病率和死亡率。在总共1554个导管日中，对97名新生儿进行了105次经皮导管置入。我们发现，53.3%为早产儿，74.2%体重不足2500克，90%使用股静脉。置管时主要的发病情况为呼吸问题、败血症和主要先天性畸形，30%的经皮导管在拔除时存在细菌定植；导管感染率为每1000个导管日1.2次。我们的结论是，经皮导管是危重新生儿静脉通路的首选，置管和留置期间死亡率低，导管引起的败血症发生率低，静脉穿刺应激和静脉损伤数量少。
