血液肿瘤患者经外周置入中心静脉导管的并发症及其护理.pdfVIP

2011,28(10A) 解放孑护理杂志(h。kr NUK$JchinPLA 血液肿瘤患者经外周置入中心静脉导管的并发症及其护理 孙建，王枫，谢辉 (中国医科大学附属盛京医院血液科，沈阳110004) insertedcentral l摘要】 目的探讨血液肿瘤患者外周导人中心静脉置管(peripherally catheter，PICC)术后并发症的原因及 其防治策略。方法 回顾性总结109例血液肿瘤患者植入PICC导管后并发症的发生及处理情况。结果本组患者一次穿 刺成功率为97．3％。主要并发症有穿刺点渗血、穿刺点感染、导管堵塞、静脉炎、导管脱出、血栓形成。结论严密观察，规范 无菌操作选择适宜导管、正压封管，有效固定等措施能有效减少PICC置管后并发症的发生。 l关键词】外周置人中心静脉置管；并发症；原因分析；防治策略 【中图分类号1 R733．7【文献标志码l A 【文章编号1 l008-9993(2011)10A-0033—03 Prevention to of TumorPatientswith In- StrategiesComplicationsHematological Peripherally sertedCentralCatheter SUNJian，WANG H of Shengj ofChina Feng，XIEui(DepartmentHematology，AffiliatedingHospital Medical 110004，China) ． University，Shenyang To thereasonsand to of 【Abstract】objective prevention investigate strategiescomplicationshematologi— caltumor with insertedcentralcatheter(PICC)．MethodsTheincidenceandtreat— patientsperipherally mentof in109 tumor withPICCwere summarized． complicationshematologicalpatients retrospectively ResultsTheratioofinsertionsuccessforthefirsttimewas97．3％．The werebleed— majorcomplications emersionandthrombosis．ConclusionEffective ing，infection，tubeblockage，phlebitis，tube preservation canreducethe PICC． complicationsfollowing insertedcentral 【Keywords】peripherallycatheter(PICC)；complication；reasonanalysis；preventionstrategy [NursJChin inserted 28例，多发