肿瘤患者PICC致静脉血栓的原因分析及护理  

Analysis of causes for venous thrombosis associated with the placement of peripherally inserted central catheters(PICC) and nursing strategies

作　　者：刁永书[1] 李虹[1] 许辉琼[1] 汪秀云[1] 易琼[1] 袁灵[1] 

机构地区：[1]四川大学华西医院肿瘤化疗科,成都610041

出　　处：《中国实用护理杂志（下旬版）》2005年第6期3-5,共3页Chinese Journal of Practical Nursing

摘　　要：目的分析肿瘤患者PICC致静脉血栓的原因,总结有效的预防护理措施。方法患者于化疗当日行PICC置管,并给予观察与护理。结果416例患者中14例发生静脉血栓,发生率3.4%;经溶栓、抗凝治疗后,13例2～10d症状逐渐缓解,1例溶栓治疗中发生栓子脱落引起脑栓塞。结论肿瘤患者PICC致静脉血栓是不容忽视的并发症;应给予有效的预防护理措施,预防静脉血栓的发生;应在抗凝和溶栓过程中密切观察出血倾向及栓子脱落导致其他部位栓塞的征象。Objective To analyze the causing factors of venous thrombosis associated with placement of peripherally inserted central catheters(PICC) in tumor patients and nursing strategies. Methods Patients received PICC on days of chemotherapy and were observed and nursed. Results Out of 416 cases, 14 patients occurred venous thrombosis with an incidence of 3.4%, of which 13 resolved gradually at 2 to 10 days after start of anticoagulant and thrombolytic treatment, 1 case had cerebral embolism due to detachment of thrombolus during thrombolytic therapy. Conclusions Venous thrombosis in tumor patients induced by PICC is a complicatient that shoud not be overlooked, effective nursing measure should be given for prevention. Patients should be observed closely for bleeding tendency and embolismic signs at other anatomic sites during the anticoagulant and thrombolytic process.

关 键 词：静脉血栓 肿瘤患者 PICC 分析及 预防护理措施 栓子脱落 观察与护理 溶栓治疗 出血倾向 HCC 发生率 治疗后 脑栓塞 并发症 抗凝 

分 类 号：R543.6[医药卫生—心血管疾病] R473.73[医药卫生—内科学]