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皮下隧道穿刺技术在经外周静脉置入中心血管通路中的研究进展
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Abstract:
皮下隧道穿刺技术可显著降低PICC相关并发症的发生率，此项技术在国外已得到广泛应用。皮下延伸穿刺技术通过穿刺针在皮下延伸一段距离后进入血管，然后按照常规置管法置入PICC导管，是近几年新兴的一种穿刺技术。尽管上述两种技术均已有临床报道，但对两种穿刺技术的优劣以及临床有效性和安全性比较的文章未见报道。因此，有必要对两种置管术的操作和临床研究成果进行综述，以促进国内术语、操作的规范性，推动相关研究的实施，为临床置管方式的合理选择提供参考。
Subcutaneous tunnel puncture can significantly reduce the incidence of complications related to PICC. This technique has been widely used abroad. Subcutaneous extension puncture technique is a new puncture technique in recent years, in which the puncture needle is extended subcutaneously for a certain distance to enter the blood vessel, and then the PICC catheter is inserted according to the conventional catheterization method. Although the above two techniques have been reported clinically, there are no reports on the advantages and disadvantages of the two puncture techniques and the comparison of their clinical efficacy and safety. Therefore, it is necessary to review the operation and clinical research results of the two kinds of catheterization, so as to promote the standardization of domestic terminology and operation, promote the implementation of relevant research, and provide a reference for the rational selection of clinical catheterization methods.
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