소아 환자에서의 피하 중심정맥 도관 접근술 = Percutaneous Central Access in Pediatric Patient

다국어 초록 (Multilingual Abstract)

Purpose: Central venous access is an essential component of the management for the pediatric patients requiring a temporary nutritional support, an infusion of chemotherapeutic agents and antibiotics, a frequent transfusion and drawing of blood. Recently, usually performed a subcutaneous tunneled, implantable vascular access through puncture or cut-down method. In this study, the author tried to assess an property and effectiveness of this procedure.
Subject and Methods: Reviewed medical records of 37 patients who receiving percutaneous central venous access from Jan 2003 to Dec 2006.
Results: There were 37 patients with a predominance of boy and 10 patients were younger than 5 years old. Medical problems that need the central venous access were 18 hematooncologic cases, 12 chronic renal failures, 4 malignant cases, 3 aplastic anemia and one lymphoma, respectively. Device for venous access was a Hickman catheter, Broviac dual-lumen catheter and Chemoport system. According to the access route of vein, intemal(24 cases) or extemal(7 cases) jugular vein, subclavian vein(6 cases) was used. Although there were some complications related to the procedure, such as bleeding at the base, catheter dislodgement, subcutaneous infection, no other serious complications such as thromboembolism, sepsis.
Conclusions: In the pediatric populations, subcutaneous implantable central venous access is an essential, safe and proper method for managing medical or surgical problems.