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113例肿瘤患者PICC置管过程中导管异位的识别与复位
Identification and repositioning of catheter malposition during PICC insertion in 113 cancer patients
【摘要】 总结了113例肿瘤患者经PICC置管时异位的识别及复位对策。置管过程中借助B超和心电图实时识别导管异位,采用颈内静脉阻断法、呼吸配合联合前段导丝撤出法等一系列及时有效的复位处理,111例成功复位,成功率98.23%,2例因疾病等原因复位失败。
【Abstract】 This paper summarized identification and reposition strategies of catheter malposition in 113 cancer patients with peripherally inserted central catheters(PICCs) during catheterization. In the process of PICC catheterization,catheter malposition was identified by ultrasound and ECG in a real-time manner. A series of timely and effective reposition procedures were performed by internal jugular vein blocking,breathing combined with anterior segment wire withdrawal. Overall,111 cases were successfully repositioned,the success rate was 98.23%,and 2 cases failed because of other reasons such as diseases.
【Key words】 Peripherally-Inserted Central Catheter; Catheter Malposition; Reposition; Ultrasound;
- 【文献出处】 中华护理杂志 ,Chinese Journal of Nursing , 编辑部邮箱 ,2018年04期
- 【分类号】R473.73
- 【被引频次】31
- 【下载频次】1141