1目录本节主题：PICC在肿瘤科的应用本节介绍了以下文献：1)Peripherallyinsertedcentralvenouscathetersareagoodoptionforprolongedvenousaccessinchildrenwithcancer(肿瘤患儿使用PICC长期静脉通路是较佳选择).PediatrBloodCancer,2008,51(2):251-255.2）外周置入中心静脉导管在血液病化疗患者中的应用.中华护理杂志(2006)41(5):415-416.3）PICC在肿瘤化疗病人的应用及护理现状.护理研究(2008).22(5):1324-1326.说明：1.外文文献中均罗列了原版英文摘要和翻译后的中文摘要；2.每篇摘要后、黑框中呈现的“要点总结”是公司内部的解读意见；3.最后罗列了同类文献的名称，如需要请向市场部索取；4.文献全文如需要请向市场部索取。21）Peripherallyinsertedcentralvenouscathetersareagoodoptionforprolongedvenousaccessinchildrenwithcancer(肿瘤患儿使用PICC长期静脉通路是较佳选择)来源：PediatrBloodCancer,2008,51(2):251-255.儿童血液肿瘤杂志作者：Abedin,S.andG.Kapoor英文摘要：BACKGROUND:Alongtermvenousaccessdeviceisessentialinchildrenwithmalignanciesforthesafeadministrationofmedicationandtoavoidrepeatedpainfulvenipunctures.Theadvantageofperipherallyinsertedcentralvenouscatheters(PICC)overconventionalcentralvenouscatheter(CVC)iseasybedsideinsertionwithoutneedforgeneralanesthesiaandtheatretime.ThepurposeofthisstudywastoevaluateourexperiencewithPICCsparticularlywithregardtocatheterlife,reasonforremovalandcomplicationsinchildrensufferingfromvariousmalignancies.PROCEDURE:AretrospectiveanalysisofallPICCsinsertedinchildrenwithcancerwasdonewithregardtothedemographicdata,catheterlife,reasonforremoval,andcomplications.Thelattertwowereevaluatedinassociationwithpatientage,catheterdays,andyearofinsertion.RESULTS:Of127cathetersinsertedin127children,mediancatheterlifewas161dayswithatotalof18,955catheterdays(for124patients,3losttofollow-up).Electiveremovaloccurredin63/101(62.4%)PICCsandremovalduetocomplicationsresultedinacomplicationrateof2.41per1,000catheterdays.Thecommonreasonsforcatheterremovalweresuspectedinfection,breakage/leakage,dislodgement,phlebitis,andocclusionwithratesof1.27,0.57,0.31,0.06,and0.06per1,000catheterdays,respectively.CONCLUSION:WefoundPICCtobeaconvenient,cheap,safe,andreliabledeviceforlongtermintravenousaccessinchildrenwithmalignancies.Thiswaspossiblewiththehelpofdedicatedcathetercarenurses.中文摘要：研究背景：儿童恶性肿瘤患者使用长期血管通路装置，安全的管理以及避免反复静脉穿刺疼痛十分重要。较CVC而言，PICC的优势在于方便置入，且无需麻醉及无需手术室中进行。该研究的目是为评估儿童恶性肿瘤患者PICC留置时间，移除置管的理由，以及相关并发症。方法：回顾性分析所有置入PICC的肿瘤患儿的病史资料，置管时限，移除理由以及并发症，后两项的分析结合了患者的年龄、置管天数、穿刺时的年龄。结果：127名患儿进行了127例穿刺，中位置管天数是161天，总置管天数共计18955天（124名患儿，3例失访）。因并发症移除PICC的发生率为63/101（62.4%），并发症发生率为2.41/1000导管日。常见的移除原因是可疑感染（1.27/1000导管日）、损坏/渗漏（0.57/1000导管日）、移位（0.31/1000导管日）、静脉炎（0.06/1000导管日）以及堵塞（0.06/1000导管日）。结论：对于儿童恶性肿瘤患者，PICC是方便、经济、安全和可靠的长期静脉通路装置。该装置对静脉穿刺的护理有不少益处。要点总结：本文评价了在儿童恶性肿瘤患者中PICC的应用价值。32）外周置入中心静脉导管在血液病化疗患者中的应用来源：中华护理杂志(2006)41(5):415-416.作者：丁小萍，夏彩莲等（上海长征医院血液科）目的：总结外周置入中心静脉导管(PICC)在血液病化疗患者中应用的经验，并探索其应用规律。方法：回顾性总结60例血液病化疗患者PICC的置管时机、置管静脉与部位、置...
