血液病患儿经外周插管的中心静脉置管后导管异位的纠正与护理  

The methods for adjusting the allotopia of PICC catheter and nursing in hemopathic children

作　　者：宋晓玲[1] 张慧敏[1] 

机构地区：[1]中国医学科学院北京协和医学院血液学研究所血液病医院,天津300020

出　　处：《天津护理》2008年第5期260-261,共2页Tianjin Journal of Nursing

摘　　要：目的：探讨血液病患儿经外周插管的中心静脉置管（PICC）后导管异位的纠正与护理方法。方法：通过对12例PICC置管后异位的患儿给予适当的体位、推注冰盐水、心理支持等方法。结果：12例患儿中，怀疑异位拔出导管8—10cm后一次回纳成功10例，成功率83％，其余两例1例为两次回纳成功；l例回纳失败，导管末端置于锁骨下静脉，置管期间无严重并发症及继发感染。结论：PICC置管异位后的纠正应注意异位的血管长度，实施纠正时的体位，并注意患儿的心理因素，严格遵守无菌操作原则确保患儿置管安全。Objective： To discuss the methods for adjusting the allotopia of PICC catheter and nursing in hemopathic children. Methods： 12 children with PICC catheter allotopia were given correct body positions, sodium chloride intravenous injection and psychological supporting, etc. Results： In total 12 cases who doubting catheter atlopic, the catheters were all pulled out from 8 to 10 centimeters. The catheters resetting of 10 children only by one times, the achievement rate was 83%. I children, the catheter was resetted successfully twice. The catheter resetting of I case was unsuccessful, the end of the catheter in the subclavian vein, with no serious complication and second infection. Conclusion： The length of the vessel, correct body position, psychological instruction and the execution of aseptic technique are the ways to keep the PICC insert secure.

关 键 词：PICC 导管异位 纠正 护理 

分 类 号：R473.72[医药卫生—护理学]