PICC在血液肿瘤患者中的应用及常见并发症对策  

Application of PICC in Patients with Hematological Malignancies and the Countermeasures to Common Complication

作　　者：叶玲荣[1] 徐勤容[1] 余丽娟[1] 余洪[1] 

机构地区：[1]浙江省衢州市人民医院血液科,浙江衢州324000

出　　处：《中国现代医生》2011年第26期110-111,156,共3页China Modern Doctor

基　　金：2010年浙江省衢州市科技项目计划(20101101)

摘　　要：目的探讨PICC在血液肿瘤患者中的应用价值及常见并发症的处理方法。方法回顾性复习我院2007年1月～2010年9月采用PICC技术进行治疗的127例血液肿瘤患者的临床资料,并对导管留置期间出现各类并发症的患者资料进行系统分析。结果 127例患者PICC导管一次穿刺成功率93.7%(119/127),置管成功率100%;导管留置时间为3～252d,平均(76.3±19.5)d;导管留置期间共出现各类并发症21例,经相应处理均治愈。结论 PICC在血液肿瘤患者中的应用具有优越性,值得推广,但应注意导管留置期间的护理,并需高度重视对各类并发症的正确处理。Objective To explore the value of PICC in.patient with hematological malignancies and the countermeasures to common complication. Methods From 2007 January to 2010 September, 127 patients with hematological malignancies were performed PICC, and the complications were detected and recorded, the reasons were analyzed at the same time. Results The success rate of first puncture was 93.7% （ 119/127 ）among these 127 patients, the PICC placement success rate was 100%. The PICC dwelling time between 3 - 252 d （ 76.3±19.5 ） d. The complications were observed in 21 patients of the total group. Through careful observation and strengthening nursing, all the complications were treated satisfactorily. Conclusion Application of PICC in patient with hematological malignancies have a lot of superiority and worthy to be spread in clinical practice. We should pay attention to improve nursing quality in the course of PICC dwelling time, and attach importance to all the complications of correctly handling.

关 键 词：PICC 血液肿瘤 并发症 

分 类 号：R473.73[医药卫生—护理学]