3CG心电定位技术经颈内静脉行隧道式PICC置管技术在1例老年头颈部肿瘤患者中的应用  

Application of 3CG electrocardiographic localization technique and tunnel PICC catheterization through internal jugular vein in an elderly patient with head and neck tumors

作　　者：陈鹏[1] 陈玫瑰 邓立华[1] 滕珊 CHEN Peng;CHEN Meigui;DENG Lihua;TENG Shan(Qingdao Municipal Hospital,Qindao 266000,China)

机构地区：[1]青岛市市立医院,266000

出　　处：《中国老年保健医学》2023年第1期165-167,共3页Chinese Journal of Geriatric Care

摘　　要：总结3CG心电定位联合超声引导经颈内静脉隧道式PICC置管在肿瘤科1例头颈部肿瘤老年患者的应用经验。笔者收治了1例双上肢及下肢重度水肿,呼吸困难,无法平卧,营养状况差的患者。患者无法在上肢或下肢行PICC置管,因此采取3CG心电定位联合超声引导经颈内静脉行隧道式PICC置管术。患者成功置入PICC导管,穿刺时间为42分钟,X线摄片显示导管到达上腔静脉,置管患者无并发症的发生。应用3CG心电定位联合超声引导从颈内静脉行隧道式PICC置管,可有效解决无法从四肢血管进行PICC置管患者的静脉治疗难题,避免了化学性静脉炎的发生,为疑难危重患者开辟了一条新的输液路径。To summarize the experience of 3CG ECG localization combined with ultrasound-guided internal jugular vein tunnel PICC catheterization in an elderly patient with head and neck tumors in the department of oncology.The author treated a patient with severe edema of both upper and lower limbs, dyspnea, inability to lie flat and poor nutritional status.The patient was unable to perform PICC catheterization in the upper or lower limbs, so 3CG electrocardiographic localization combined with ultrasound-guided tunnel PICC catheterization through the internal jugular vein was adopted.The patient successfully placed a PICC catheter, and the puncture time was 42 minutes.X-ray film showed that the catheter reached the superior vena cava.There was no complication in the patient with PICC catheterization.The application of 3CG electrocardiographic localization combined with ultrasound-guided tunnel PICC catheterization from internal jugular vein can effectively solve the venous treatment problems of patients who can not receive PICC catheterization from limb vessels, avoid the occurrence of chemical phlebitis, and open up a new infusion path for difficult and critical patients.

关 键 词：3CG 颈内静脉 隧道式PICC 血管通路 

分 类 号：R473.73[医药卫生—护理学]