三维DSA技术判断异常血管并引导PICC的应用与护理  

Application and care of three-dimensional DSA technique to judge abnormal blood vessels and to guide PICC

作　　者：申邢[1] 王今[1] 梁琳[1] 熊壮[1] 

机构地区：[1]安徽医科大学第一附属医院肿瘤化疗科,合肥市230022

出　　处：《护理实践与研究》2014年第3期140-141,共2页Nursing Practice and Research

摘　　要：目的：探讨三维DSA在血管变异条件下行PICC置入的新方法.方法：选择2013年8～9月行PICC置管受阻患者12例,在X线透视下应用三维DSA技术判断患者血管条件并且引导PICC至理想位置.结果：对PICC置管受阻的12例患者在采用三维DSA后,11例患者准确判断血管条件并成功置入PICC,1例锁骨下静脉闭锁患者建议植入输液港,均顺利完成全程化疗.结论：三维DSA可有效提高异常血管PICC置入的成功率,值得临床应用.Objective ：To explore a new method of PICC placement in conditions of vascular variation by three - dimensional DSA. Methods ： Used three - di- mensional DSA technique in X -ray fluoroscopy to judge patients＇vascular conditions and guide PICC to the ideal location. Resuhs：12 cases of PICC tube were blocked in the three - dimensional DSA, 11 patients with vascular conditions accurately and successful implantation of the PICC, 1 case of subclavian vein atresia patients suggested that implanted infusion tube, all were successfully completed the chemotherapy. Conclusion： Three -dimensional DSA can ef- fectively increase the success rate of PICC placement in abnormal blood vessels, and it is worthy for clinical application.

关 键 词：数字减影血管造影 外周静脉 中心静脉导管 护理 

分 类 号：R473.5[医药卫生—护理学]