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经外周置入中心静脉导管并发症的分析和护理 被引量:11

Nursing and analysis for complication of PICC
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摘要 目的探讨患者使用外周置人中心静脉导管(PICC)相关并发症及护理策略。方法选取我院PICC患者98例进行留置。采用百分比的统计学方法对研究结果进行分析。结果留置PICC的98例患者全部穿刺成功,其中无并发症发生例数86例,其占总数的87.76%;静脉炎5例,发生率5.10%;导管堵塞2例,发生率2.04%;静脉血栓形成2例,发生率2.04%;穿刺点感染1例,发生率1.02%;穿刺点渗血2例,发生率2.04%;留置导管最长时间286d,最短7d。结论PICC是一种可行的易操作、有效的、安全的置管方法,保留时间长,在使用过程中应严格执行无菌操作,加强置管后的观察和护理,以提高PICC导管使用安全性。 Objective To study the causes and nursing measures of the complications of peripherally inserted central eatheters ( PICC ) in hospitalized patients. Methods There were 98 patients with PICC in our hospital who were observed. Then the results were ana lyzed with the method of percentage statistic. Results These patients were taken successful puncture operation, among of them 86 eases without complication, occupying 87.76% of total amount; 5 cases with phlebitis, affecting 5. 10% ; 2 eases with catheter block, affecting 2. 04% ; 2 eases with venom thrombosis, affecting 2. 04% ; 1 case with infection at the puncture spot, affecting 1.02% ; 2 eases with bleed- ing at puncture spot, affecting 2. 04%. The catheter was kept in patients'body at most 286 days, at least 7 days. Conclusions PICC is an easy - operative, effective, safe insertion catheter method and long time indwelling, PICC has been widely used in patients. To improve safety, the nursing strategies should be strictly sterile operation and careful observation and nursing.
作者 王琳徐芳
出处 《国际护理学杂志》 2011年第8期1244-1247,共4页 international journal of nursing
关键词 PICC 并发症 护理 PICC Complication Nursing
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参考文献11

  • 1Todd J. Peripherally inserted central catheters and their use in L v. therapy [J]. Br J Nuts, 1999, 8 (3) : 140 -2, 144, 146 -8.
  • 2Akers AS, Chelluri L Peripherally inserted central catheter use in the hospitalized patient: is there a role for the hospitalist?[J]. J Hoop Med, 2009, 4 (6) : E1 -4.
  • 3Philpot P, Griffiths V. The peripherally inserted central catheter [J]. Nurs Stand, 2003, 17 (44): 39-46; 48-9.
  • 4Leung TK, Lee CM, Tai CA, et aL A retrospective study on the long - term placement of peripherally inserted central catheters and the impor- tance of nursing care and education (J) .Cancer Nurs, 2011, 34 (I) : E25 -30.
  • 5Leung TK, Chang CP, Lee CM, et al. Retrospective study of the total in- scrfion period of peripherally inserted central catheter: discussion of anti - thrombogenic surface and other biomaterial requirements[J]. Biomed Mater Eng, 2006, 16 (3): 183-188.
  • 6Eggimann P, Harbarth S, Constantin MN, et aL Impact of a prevention strategy targeted at vascular - access care on incidence of infections ac- quired in intensive care [J]. Lancet, 2000, 355 (9218) : 1864 - 1868.
  • 7张素芳,张清君.外周静脉置入中心静脉导管的临床应用[J].中国误诊学杂志,2004,4(9):1537-1538. 被引量:4
  • 8郑芝芬,金卫群.白血病化疗使用外周中心静脉置管的并发症及护理对策[J].中华医院感染学杂志,2009,19(10):1220-1221. 被引量:14
  • 9O'Grady NP, Alexander M, Dellinger EP, et al. Guidelines for the pre- vention of intravascular catheter - related infections. Centers for Disease Control and Prevention[J]. Mmwr Recomm Rep, 2002, 51 (10) : 1-29.
  • 10傅荣,袁玲,李蓉梅.PICC穿刺部位敷料更换时间与感染的关系探讨[J].护理学报,2010,17(18):66-67. 被引量:15

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