中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
9期
1041-1043
,共3页
耳鼻咽喉肿瘤%导管插入术,中心静脉%护理%并发症
耳鼻嚥喉腫瘤%導管插入術,中心靜脈%護理%併髮癥
이비인후종류%도관삽입술,중심정맥%호리%병발증
Otorhinolaryngologic neoplasms%Catheterization,central venous%Nursing%Complication
目的 探讨耳鼻咽喉肿瘤患者使用外周中心静脉置管(PICC)的并发症及其预防、护理对策.方法 对142例使用PICC的耳鼻咽喉肿瘤患者进行观察,分析并探讨并发症的预防和应对措施.结果 成功置管138例,置管成功率为97.18％.发生并发症14例(10.14％),其中穿刺口渗血2例(1.45％),导管异位6例(4.35％),机械性静脉炎5例(3.62％),上肢深静脉血栓形成1例(0.72％).预防性应用抗凝药物和加强置管前、置管中、置管后的护理可以减少并发症的发生.结论 增强HCC相关并发症和相关风险的防范意识,严格把握PICC置管的适应证,规范PICC置管的护理和相关并发症的预防措施,可以提高使用PICC的安全性.
目的 探討耳鼻嚥喉腫瘤患者使用外週中心靜脈置管(PICC)的併髮癥及其預防、護理對策.方法 對142例使用PICC的耳鼻嚥喉腫瘤患者進行觀察,分析併探討併髮癥的預防和應對措施.結果 成功置管138例,置管成功率為97.18％.髮生併髮癥14例(10.14％),其中穿刺口滲血2例(1.45％),導管異位6例(4.35％),機械性靜脈炎5例(3.62％),上肢深靜脈血栓形成1例(0.72％).預防性應用抗凝藥物和加彊置管前、置管中、置管後的護理可以減少併髮癥的髮生.結論 增彊HCC相關併髮癥和相關風險的防範意識,嚴格把握PICC置管的適應證,規範PICC置管的護理和相關併髮癥的預防措施,可以提高使用PICC的安全性.
목적 탐토이비인후종류환자사용외주중심정맥치관(PICC)적병발증급기예방、호리대책.방법 대142례사용PICC적이비인후종류환자진행관찰,분석병탐토병발증적예방화응대조시.결과 성공치관138례,치관성공솔위97.18％.발생병발증14례(10.14％),기중천자구삼혈2례(1.45％),도관이위6례(4.35％),궤계성정맥염5례(3.62％),상지심정맥혈전형성1례(0.72％).예방성응용항응약물화가강치관전、치관중、치관후적호리가이감소병발증적발생.결론 증강HCC상관병발증화상관풍험적방범의식,엄격파악PICC치관적괄응증,규범PICC치관적호리화상관병발증적예방조시,가이제고사용PICC적안전성.
Objective To discuss the prevention and nursing resolution of complications associated with peripherally inserted central venous catheter (PICC) application in otolaryngology tumor patients.Methods To analyze and discuss the prevention and resolution of complications that had happened on 142 cases of PICC application in patients with otorhinolaryngologic neoplasms.Results Successful insertion in 138 cases (97.18％).Fourteen cases with complications ( 10.14％ ),including two cases ( 1.45％ ) of bleeding on site of catheter insertion,six cases (4.35％) of catheter tip mal-position,five cases (3.62％) of mechanical phlebitis and one case (0.72％) of deep venous thrombosis.Conclusions PICC application will be much safer if we pay attention to mastering the indications of PICC,standardization of PICC nursing and complication handling.
