两个不同部位长期留置外科中央静脉导管的新生儿病例的预后差异:颈部和腹股沟区
Differences in the outcome of surgically placed longterm central venous catheters in neonates: Neck vs groin placement作者机构：Depts. of Surgery and Pediatrics Univ. Illinois Coll. Med. at Peoria Children' s Hosp. Illinois OSF S. F. Peoria IL 61603 United States
出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)
年 卷 期：2005年第1卷第9期
页 面：30-30页
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：新生儿病 中央静脉导管 腹股沟区 静脉留置导管 儿童医院 手术医师 统计学显著性 风险值 单腔 个人习惯
摘 要：Long-term tunneled central venous catheters (CVC) are frequently used in the neonatal intensive care unit (NICU) babies. They are placed either in the neck or groin based primarily upon the surgeon’ s preference. There is meager published in-formation available about the relative risks of these lines. This is a retrospective analysis of all the tunneled central venous catheters placed in NICU babies at a children’ s hospital over a nearly 5-year period. Single lumen Broviac catheters were used in all cases. A total of 137 catheters were placed in 126 patients. There were 88 neck lines and 49 groin lines. Age, gestational maturity, and body weight were significantly lower for babies who underwent groin line placement. There was no significant difference in the number of days the catheters were live between the 2 groups. Total complication rates and catheter infection rates were significantly higher with neck lines. The accidental removal rate was higher with neck lines but did not reach statistical significance. Broviac catheters placed in the groin of NICU babies are associated with significantly fewer complications compared with those placed in the neck.
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