Greenspoon J S, Rosen D J, Ault M
Department of Obstetrics-Gynecology, Cedars-Sinai Medical Center, Los Angeles, California.
Obstet Gynecol. 1993 May;81(5 ( Pt 2)):831-4.
Parenteral nutrition is required during pregnancy to treat hyperemesis gravidarum and other conditions in which enteral intake is inadequate. We describe the peripherally inserted central catheter. The catheter is inserted into the antecubital vein using local analgesia, thus eliminating some of the risks associated with obtaining central venous access.
Three pregnant patients required parenteral nutrition for refractory hyperemesis gravidarum. The peripherally inserted central catheter was successfully placed, and central venous administration of hyperosmolar solutions was accomplished without complication for periods of 28-137 days. Maternal weight gain and fetal growth were adequate.
The peripherally inserted central catheter avoids some of the risks related to obtaining central venous access and permits long-term administration of parenteral nutrition into the central venous circulation.
孕期需要肠外营养来治疗妊娠剧吐及其他肠内摄入不足的情况。我们描述了经外周静脉穿刺中心静脉置管。该导管通过局部麻醉插入肘前静脉，从而消除了一些与获得中心静脉通路相关的风险。
三名孕妇因难治性妊娠剧吐需要肠外营养。成功置入了经外周静脉穿刺中心静脉导管，高渗溶液的中心静脉给药在28 - 137天内无并发症发生。孕妇体重增加和胎儿生长情况良好。
经外周静脉穿刺中心静脉导管避免了一些与获得中心静脉通路相关的风险，并允许将肠外营养长期输注到中心静脉循环中。
