血液病患者外周置入中心静脉导管异位的原因  

Reasons of dislocation of peripherally inserted central catheter in patients with hemopathic diseases

作　　者：梁仁瑞[1] 黄育玲[1] 梁爱萍[1] 王珍[1] 吴丽[1] 

机构地区：[1]广东医学院附属医院血液内科,广东湛江524001

出　　处：《中华临床营养杂志》2009年第3期175-177,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的探讨血液病患者外周置入中心静脉导管（PICC）异位的原因。方法回顾性分析136例血液病患者PICC置管的情况。结果15例患者发生PICC导管异位，导管异位发生的主要原因是操作者早期技术欠熟练，与置管途径无相关性（P〉0．05）。结论导管异位与操作者的置管熟练程度相关，如送管速度过快、测量长度欠准确等；通过改变体位、调整长度等均能复位、正常使用。Objective To investigate the reasons of peripherally inserted central catheter （PICC） dislocation in patients with hemopathic diseases. Method The clinical data of 136 hemopathic patients who had received PICC were retrospectively analyzed. Results Fifteen patients experienced the dislocation of catheters. The main reason was the lack of experience of the operators. No correlation was found between the dislocation of catheter and the route of catheter insertion （P 〉 0. 05）. Conclusion The PICC dislocation is mainly caused by the wrong maneuvers by inexperienced operators.

关 键 词：血液病 外周置入中心静脉导管 导管异位 

分 类 号：R47[医药卫生—护理学]