1例PICC中线导管应用在减重手术患者中的护理体会.docx

1例PICC中线导管应用在减重手术患者中的护理体会

ChinaXiv:202406.00126v1摘要：肥胖患者的血管壁容易堆积脂肪，血管也会被脂肪包围和压迫，导致血流阻力增加，血管不够顺畅，血管壁弹性降低。肥胖患者术后禁饮食不仅需长达3天的补液、抑酸等静脉治疗，还要进行早期活动促进快速康复，因此，静脉通路不仅要满足临床快速补液的需求，还要在活动过程中维持通畅。鉴于上述特点，为肥胖症患者选择一种有效的静脉补液通道极其重要。美国静脉输液护理学会(INS)2021年输液治疗实践标准提出采用塞丁格或改良后塞丁格技术置管，可以提高穿刺成功率，同时减少并发症。在肥胖患者的减重手术中使用中线导管，既能满足长期静脉输液治疗的需要，又能减轻患者痛苦保护血管，减轻护士频繁穿刺的压力。置入中线导管后，无需进行X

ChinaXiv:202406.00126v1

关键词：减重；中线导管；护理体会

AcaseofPICCmidlinecatheterapplication

Nursingexperienceinpatientsundergoingweightloss

surgery

WangXiaoming

(BeijingJiangongHospital,DepartmentofGeneralSurgeryandOncology,Beijing

100032)

ABSTRACT:Obesepatientstendtoaccumulatefatontheirbloodvesselwalls,whichcanalsobesurroundedandcompressedbyfat,leadingtoincreasedbloodflow

resistance,lesssmoothbloodvessels,andreducedwallelasticity.Postoperativefastinginobesepatientsnotonlyrequiresintravenoustherapysuchasfluid

replacementandacidsuppressionforupto3days,butalsoearlyactivitytopromoterapidrecovery.Therefore,venousaccessshouldnotonlymeettheclinicalneedsforrapidfluidreplacement,butalsomaintainpatencyduringtheactivityprocess.Giventheabovecharacteristics,itisextremelyimportanttochooseaneffectiveintravenousfluidreplacementchannelforobesepatients.TheAmericanSocietyof

VenousInfusionNursing(INS)2021infusiontreatmentpracticestandardproposestheuseofSedingerormodifiedSedingertechniqueforcatheterization,whichcanimprovepuncturesuccessrateandreducecomplications.Theuseofmidlinecathetersinweightlosssurgeryforobesepatientscannotonlymeettheneedsoflong-termintravenousinfusiontreatment,butalsoalleviatepatientpain,protectbloodvessels,andalleviatethepressureoffrequentpuncturesbynurses.Afterinsertingamidlinecatheter,thereisnoneedforX-raylocalization,reducingradiationdamageandpatienttreatmentcosts.

KEYWORDS:Weightloss;Midl