国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
1期
35-38
,共4页
异位%PICC导管%调整%效果%观察
異位%PICC導管%調整%效果%觀察
이위%PICC도관%조정%효과%관찰
Malposition%PICC line%Management%Effective%Explore
目的 探讨异位PICC导管的调整方法.方法 对36例异位PICC导管在数字化胃肠X光机下经采取将导管退回到异位起始处、调整穿刺侧肢体位置等方法对异位PICC导管调整失败的患者,采用将导管退出至异位起始处前1 cm、退出部分导丝、改变体位、背部拍打、深呼吸等5种方法同时使用,对异位PICC导管尖端位置进行调整,并在数字化胃肠X光机下拍片定位,确认调整成功,并记录调整次数及调整成功的例数.结果 36例异位PICC导管中有31例一次调整成功,3例2次调整成功,另外2例经多次调整失败,最后拔除导管,选择另一侧贵要静脉穿刺置管成功,调整成功率为94％.结论 采用将导管退出到异位起始处前1 cm,退出部分导丝,改变体位、背部拍打、深呼吸等5种方法的联合应用能有效调整异位的PICC导管.
目的 探討異位PICC導管的調整方法.方法 對36例異位PICC導管在數字化胃腸X光機下經採取將導管退迴到異位起始處、調整穿刺側肢體位置等方法對異位PICC導管調整失敗的患者,採用將導管退齣至異位起始處前1 cm、退齣部分導絲、改變體位、揹部拍打、深呼吸等5種方法同時使用,對異位PICC導管尖耑位置進行調整,併在數字化胃腸X光機下拍片定位,確認調整成功,併記錄調整次數及調整成功的例數.結果 36例異位PICC導管中有31例一次調整成功,3例2次調整成功,另外2例經多次調整失敗,最後拔除導管,選擇另一側貴要靜脈穿刺置管成功,調整成功率為94％.結論 採用將導管退齣到異位起始處前1 cm,退齣部分導絲,改變體位、揹部拍打、深呼吸等5種方法的聯閤應用能有效調整異位的PICC導管.
목적 탐토이위PICC도관적조정방법.방법 대36례이위PICC도관재수자화위장X광궤하경채취장도관퇴회도이위기시처、조정천자측지체위치등방법대이위PICC도관조정실패적환자,채용장도관퇴출지이위기시처전1 cm、퇴출부분도사、개변체위、배부박타、심호흡등5충방법동시사용,대이위PICC도관첨단위치진행조정,병재수자화위장X광궤하박편정위,학인조정성공,병기록조정차수급조정성공적례수.결과 36례이위PICC도관중유31례일차조정성공,3례2차조정성공,령외2례경다차조정실패,최후발제도관,선택령일측귀요정맥천자치관성공,조정성공솔위94％.결론 채용장도관퇴출도이위기시처전1 cm,퇴출부분도사,개변체위、배부박타、심호흡등5충방법적연합응용능유효조정이위적PICC도관.
Objective To explore different management on malposition of PICC line.Methods 36 PICC line malposition clients,who went through pulling the catheter back,adjusting the position of the insertion limb were not successful,but by using the combination of the following 5 methods can successfully manage the malposition of PICC line:pulling the catheter 1cm back from the commencement point,withdrawing some length of catheter,Changing position,palpating clients' back,practising deep breathing,then X ray to confirm the catheter tip location,record the times and the successful rate.Results Among 36 clients,31 were managed successfully by the first time,3 Clients twice and 2 clients were not successful and had to remove inserted successfully at the basilica vein at the opposite arm.Overall,the successful rate is 94％.Conclusions The combination of the following 5 methods can successfully manage the malposition of PICC line:pulling the catheter 1 cm back from the commencement point,withdrawing some length of catheter,Changing position,palpating clients' back,practising deep breathing.
