新生児・乳児期中心静脈栄養とその問題点 : 特にカテーテル感染について

概要

論文の詳細を見る
Catheter-related infection is sometimes fatal, but is not rare complication accompanying intravenous hyperalimentation through a catheter inserted in central vein. From July, 1978 to June, 1985, 66 surgical infants underwent 156 cannulizations into central vein. They were divided into two groups according to the sites of cannulation: subclavian vein puncture (group A) was carried out 127 times and another venous cut-down (group B) 29 times. The groups were compared with respect to various clinical and laboratory parameters of infection. The incidence of catheter-related sepsis in group B (24.1%) was significantly higher than in group A (9.4%). In both groups the incidence of catheter-related infection increased after 30 days of cannulation. In conclusion, to avoid the catheter-related infection : 1) periodic exchange of the infusion line and stelization of catheter-insertion region are necessary, 2) the residual central venous catheter should not be kept for more than 30 days and 3) subclavian vein puncture is useful technique for repeated central venous alimentation even in infant.
日本小児外科学会の論文
1986-12-20