中心静脉导管送管方法的改进与应用  

Improvement and application of the catheterization of peripherally inserted central catheter(PICC)

作　　者：俞小娟[1] 徐丽[1] 王顶抚[1] 

机构地区：[1]南京医科大学附属无锡市人民医院,江苏无锡214023

出　　处：《实用临床医药杂志》2012年第12期27-28,共2页Journal of Clinical Medicine in Practice

摘　　要：目的解决中心静脉导管(PICC)置管中送管困难的问题。方法通过对送管困难发生部位及血管解剖部位的评估,采取撤出部分导管,再撤出部分导丝,然后用盐水边推注边送管的方法,将导管顺利插入。结果 58例中成功送管55例,且操作简便。结论在PICC置管中遇到送管困难时采用撤出部分导管,再撤出部分导丝,然后用盐水边推注边送管的方法,重复几次,可将导管顺利插入。Objective To solve the difficulty of inserting catheter of peripherally inserted central catheter（PICC）.Methods Firstly,the place where inserting the catheter became difficult was identified and anatomy area was evaluated.Then part of the catheter was evacuated and then part of the wire.Finally,physiological saline was injected while the catheter was indwelled.Results Among 58 patients,55 had catheters successfully indwelled.The technique was simple and operational.Conclusion When indwelling difficulty of catheter occurs,we can first withdraw part of the catheter,then withdraw part of the wire.After that,we insert the catheter with saline.After several time,the catheter can be smoothly indwelled.

关 键 词：PICC 送管困难 方法 

分 类 号：R472.3[医药卫生—护理学]