DSA引导下调整中心静脉置管头端异位的尝试  

Adjusting the displaced tip of peripherally inserted central catheter under DSA guidance

作　　者：毛燕君[1] 董惠娟[2] 张玲娟[3] 李红梅[4] 许莲琴[1] 

机构地区：[1]第二军医大学附属长海医院影像医学科,上海200433 [2]第二军医大学附属长海医院中医科,上海200433 [3]第二军医大学附属长海医院护理部,上海200433 [4]第二军医大学附属长海医院血液科,上海200433

出　　处：《介入放射学杂志》2009年第8期624-626,共3页Journal of Interventional Radiology

摘　　要：目的探索调整经外周中心静脉置管(PICC)头端异位的新方法。方法在X线透视下,应用DSA技术,将异位导管的头端按血管走行重新置入上腔静脉与右心房交界处的理想位置。结果本组共13例PICC头端异位患者采用DSA引导下调整,成功率100%,调整所需平均时间为15.5min,与床边盲调比较所需时间显著缩短。结论临床上PICC导管头端异位发生率高,且难以避免。采用DSA引导下调整PICC头端异位,具有成功率高、安全性强和操作时间短等优点,值得在临床上推广。Objective To explore a new method to adjust the displaced tip of peripherally inserted central catheter （PICC） under DSA guidance. Methods Under DSA guidance, the displaced tip of PICC was repositioned to the ideal junction area of superior vena cava with right atrium with proper manipulation. Results Under DSA guidance, the displaced tip of PICC was successfully corrected in 13 cases. The mean operative time was 15.53 minutes, which was markedly shorter than that needed by blind adjusting beside the bed. Conclusion The displacement of PICC tip is a common occurrence, which is hard to be avoided. Under DSA guidance, the adjusting manipulation of the displaced PICC tip is safe and time-saving with high successful rate. It is worth popularizing this technique in clinical practice.

关 键 词：数字减影血管造影 外周中心静脉置管 导管 异位 调整 

分 类 号：R472.9[医药卫生—护理学]