外周中心静脉导管（Peripherally inserted central catheter）.docVIP

外周中心静脉导管（Peripherally inserted central catheter） Application and nursing of fourth cases of peripherally inserted central venous catheter in tumor chemotherapy I. overview Peripherally inserted central venous catheter (peripherally inserted central catherer, PICC) is a kind of from the peripheral vein and central vein is located at the end of the introduction of deep venous catheter technology, suitable for long-term intravenous infusion therapy, chemotherapy, parenteral nutrition infusion, the elderly. In 1912, the German doctor (Dr.Bleichroder) inserted a catheter through the arm into the central vein. But his experiments have not been published. In 1929, the German doctor Forssman anesthesia in patients after forearm fossa cubitalis place, through the superior vena cava puncture needle catheter placed in a 4F near the heart of the catheter tip positioning by X-ray position. The experiment made Forssman the first person to use peripherally inserted central venous catheters (PICC) in history. In 1950s, with the increasing demand for medium and long-term veins, it was recognized that direct infusion of fluids into the superior vena cava was better than peripheral venous infusion. The technique of peripherally inserted catheters has also been continuously developed. Plastic sleeves were invented in 1945, and the catheter needed to be guided by a metal needle that punctures blood vessels. In 1945, Duff is the first polyethylene (polyethylene) is widely used in femoral vein and cubital fossa vein, external jugular vein of the people. Because chemotherapy is one of the main treatment methods for malignant tumors, the majority of chemotherapeutic drugs are administered intravenously. Therefore the establishment of a high quality reusable venous channels, can not only reduce the number of patients with venous puncture pain, more important is to avoid the peripheral venous chemotherapy on local tissue destruction and stimulation, so as to ensure the whole process of the sm