44例PICC原发性上腔静脉内异位患者的护理  

Nursing care of 44 cases of PICC patients with initial catheter malposition in superior vena cava

作　　者：封凤[1] 徐红霞[1] 王铃 胥喆 伍潇丽 蒋莉[1] 金爱云[1] FENG Feng;XU Hongxia;WANG Ling;XU Zhe;WU Xiaoli;JIANG Li;JIN Aiyun

机构地区：[1]浙江大学医学院附属第一医院静脉治疗专科,杭州市310003

出　　处：《中华护理杂志》2021年第6期904-906,共3页Chinese Journal of Nursing

基　　金：浙江省医药卫生科技计划项目(2020KY540)。

摘　　要：总结44例PICC置管患者原发性上腔静脉内异位的识别与处理经验。2020年1月—5月杭州市某三级甲等医院1 370例PICC置管患者中,44例发生原发性上腔静脉内异位,发生率为3.2%。结合腔内心电图P波形态、振幅改变以及B超影像综合分析、调整PICC尖端位置,43例复位成功,1例异位于奇静脉,复位成功率为97.7%。This article summarizes the experience in the identification and treatment of 44 cases of patients with initial superior vena cava malposition occurred during peripherally inserted central catheter(PICC) line catheterization. The 1 370 patients with PICC catheterization in a tertiary hospital in Hangzhou from January to May 2020,among which 44 cases developed initial superior vena cava malposition with the occurrence rate of 3.2%. We were able to reposition in 43 cases through treatment guided by the B-scan ultrasonography and comprehensive analysis of the shape and amplitude of the P wave in intracavitary electrocardiogram. We observed in 1 case that the catheter was mistakenly delivered malposition to Azygos vein. The success rate is 97.7%.

关 键 词：导管插入术 腔静脉 上 异位 护理 

分 类 号：R472[医药卫生—护理学]