摘要
目的 分析危重症患儿经外周静脉穿刺中心静脉置管(PICC)后静脉血栓形成的危险因素。方法 选取上海交通大学医学院附属新华医院2022年1月至6月收治的240例危重症PICC患儿为研究对象。根据PICC后患儿是否形成静脉血栓分为血栓组、非血栓组。分析患儿的一般资料及临床资料,对危重症患儿PICC后静脉血栓形成危险因素进行分析。结果 24例危重症患儿PICC后形成静脉血栓,发生率为10%。两组年龄、置管型号、D-二聚体和纤维蛋白原(FIB)水平比较,差异有统计学意义(P<0.05)。年龄(OR=0.755)、D-二聚体(OR=9.490)、FIB(OR=4.106)是危重症患儿PICC后静脉血栓形成的影响因素(P<0.05)。结论 年龄、D-二聚体和FIB水平是危重症患儿PICC后静脉血栓形成的影响因素,可为后续临床监测、预防静脉血栓形成及干预治疗提供科学的参考依据。
Objective To analyze the risk factors of venous thrombosis after peripherally inserted central catheter(PICC)in critically ill children.Methods A total of 240 critically ill children with PICC admitted to Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January to June 2022 were selected as the study objects.According to the formation of venous thrombosis after PICC,the children were divided into thrombus group and non-thrombus group.The general and clinical data of the critically ill children were analyzed,and the risk factors of venous thrombosis after PICC in critically ill children were analyzed.Results Venous thrombosis was formed after PICC in 24 cases of critically ill children,the incidence was 10%.There were significant differences in age,type of catheterization,D-dimer,and fibrinogen(FIB)levels between two groups(P<0.05).Age(OR=0.755),D-dimer(OR=9.490),and FIB(OR=4.106)were the influencing factors of venous thrombosis after PICC in critically ill children(P<0.05).Conclusion Age,D-dimer,and FIB levels are the influencing factors of venous thrombosis in critically ill children after PICC,which can provide scientific reference for follow-up clinical monitoring,prevention of thrombosis and intervention treatment.
作者
王孝婧
WANG Xiaojing(Department of Pediatric Emergency and Critical Care Medicine,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)
出处
《中国医药导报》
CAS
2023年第33期113-116,共4页
China Medical Herald
