385例PICC置管患者相关并发症原因分析及护理对策
林鹤;林鹿;马淑英
【期刊名称】《中国医药科学》 【年(卷),期】2012(000)015
【摘要】 目的探讨引起经周围静脉穿刺置入中心静脉导管患者并发症的原因及相关护理对策。方法选择2007年5月~2010年5月笔者所在科室收治的行 PICC 置管患者385例,对其中发生并发症的26例患者的详细观察记录资料进行分析,找出发生并发症的原因,并给予相应的护理对策。结果发生并发症的26例 PICC 置管患者中,有静脉炎12例,导管阻塞3例,导管相关性感染2例,穿刺点渗血1例,血栓形成2例,导管断裂(体外)3例,导管脱出1例,穿刺点皮肤过敏2例。经相应护理后,有22例导管成功留置,4例拔除。结论经临床观察总结,PICC 留置期间所引起的多数并发症都有规律可循,通过医护人员与患者的共同重视,可极大程度地降低其发生率及损害程度。% Objective To investigate the reason and care strategy of PICC complications in 385 patients. Methods Selecting 385 patients who were treated in Jilin cancer hospital and used PICC from May 2007 to May 2010.To analyze the
detail
observation
data
of
26
patients
who
occurred
complications,and to found out the reason. Results 12 cases were phlebitis,3 cases were catheter obstruction,2 cases were catheter-related infections,1 case was puncture site bled,2 cases were thrombosis,3 cases were catheter fracture(in vitro),1 case was catheter prolapse and 2 cases were puncture point of skin allergies.After the appropriate care,22 cases
were successful in catheter indwelling,4 cases were extubation. Conclusion By clinical observation summary,it have a pattern that the majority complications during PICC indwelling.Through the joint attention of the medical staff and patients,it can greatly reduce the incidence and extent of damage. 【总页数】3页(134-135,138)
【关键词】中心静脉置管;并发症;原因分析;护理对策 【作者】林鹤;林鹿;马淑英
【作者单位】吉林省肿瘤医院内一科,吉林长春130012;吉林省电力医院大二疗区,吉林长春130022;吉林省肿瘤医院内一科,吉林长春130012 【正文语种】中文 【中图分类】R473.6 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_china-medicine-pharmacy_thesis/0201254629148.html 【相关文献】
1.肿瘤患者PICC置管后常见并发症的原因分析及针对性实施护理对策的临床观察 [J], 陈芳
2.乳腺癌化疗患者PICC置管相关并发症原因及护理对策探讨 [J], 张会娟; 贺静 3.肿瘤化疗患者PICC置管后常见并发症的原因分析及护理对策 [J], 梁玲 4.骨肿瘤化疗患者行PICC置管后常见并发症的原因分析及护理对策 [J], 顾文超 5.骨肿瘤化疗患者行PICC置管后常见并发症的原因分析及护理对策 [J], 顾文超
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385例PICC置管患者相关并发症原因分析及护理对策
