中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
93-96
,共4页
PICC置管%渗液%护理
PICC置管%滲液%護理
PICC치관%삼액%호리
Ultrasound-guided PICC%Exudates%Nursing
目的：探讨经外周中心静脉导管（PICC）置管术后穿刺点出现非炎性渗液的原因与护理措施。方法：对12例PICC置管术后穿刺点出现非炎性渗液患者的护理进行总结与分析。结果：12例患者经加压包扎、加强换药及改善营养状况后，有11例能终止渗液，有1例因血管内接近穿刺点处的导管破裂而拔管。结论：PICC置管术后出现非炎性渗液与置管过程中损伤淋巴管有主要关系，与患者的营养状况、导管破裂、纤维蛋白鞘形成等有次要关系。正确、及时的维护能有效终止渗液，减少非计划拔管情况的发生。
目的：探討經外週中心靜脈導管（PICC）置管術後穿刺點齣現非炎性滲液的原因與護理措施。方法：對12例PICC置管術後穿刺點齣現非炎性滲液患者的護理進行總結與分析。結果：12例患者經加壓包扎、加彊換藥及改善營養狀況後，有11例能終止滲液，有1例因血管內接近穿刺點處的導管破裂而拔管。結論：PICC置管術後齣現非炎性滲液與置管過程中損傷淋巴管有主要關繫，與患者的營養狀況、導管破裂、纖維蛋白鞘形成等有次要關繫。正確、及時的維護能有效終止滲液，減少非計劃拔管情況的髮生。
목적：탐토경외주중심정맥도관（PICC）치관술후천자점출현비염성삼액적원인여호리조시。방법：대12례PICC치관술후천자점출현비염성삼액환자적호리진행총결여분석。결과：12례환자경가압포찰、가강환약급개선영양상황후，유11례능종지삼액，유1례인혈관내접근천자점처적도관파렬이발관。결론：PICC치관술후출현비염성삼액여치관과정중손상림파관유주요관계，여환자적영양상황、도관파렬、섬유단백초형성등유차요관계。정학、급시적유호능유효종지삼액，감소비계화발관정황적발생。
Objective:To investigate the reason and nursing measures about the non inflammation exudates in puncture point after PICC intubation operation through peripheral center.Method:The nursing care of 12 patients with non inflammation exudates after taking PICC intubation operation were summarized and analyzed.Result:12 patients after pressure dressing,strengthen the dressing change and improve the nutritional status,exudates of 11 cases were terminated,there was 1 case in which the catheter was pulled out because of the duct burst in blood vessel that was near to puncture point.Conclusion:The damage of lymph-vessel that happens in the process of intubation operation takes main effect on the appearance of non inflammation exudates after taking PICC intubation operation,nutrition status,duct burst and the form of fibrin sheath take minor effect.Correct and timely maintenance can effectively stop the exudates and reduce the happening of unplanned extubation.
