1例“镜面人”在心腔内电图引导下行PICC穿刺的护理讨论  

Nursing discussion of a case of“mirror man”with endocardial electrograph-guided descent PICC puncture

作　　者：杨晓妹 胡鹏超 武云云 王红丽 YANG Xiaomei;HU Pengchao;WU Yunyun;WANG Hongli(Department of Oncology,The First People’s Hospital of Xiangyang,Hubei University of Medicine,Xiangyang Hubei 442000)

机构地区：[1]湖北医药学院附属襄阳市第一人民医院肿瘤科,湖北襄阳442000

出　　处：《当代医药论丛》2023年第17期181-184,共4页

基　　金：湖北省卫生健康委面上项目(WJ2021M069)。

摘　　要：目的:总结1例镜面人患者在心腔内电图引导下行PICC置管的护理经验。方法:在最新颁布的中华护理学会团体标准中的PICC尖端心腔内电图定位技术指引下行置管操作,置管前评估患者的情况,预测置入长度。以右位心方式连接心电图机,置管时以腔内心电实时定位,并记录穿刺前心电图。穿刺成功送入PICC导管后将无菌导联线和镜面人左臂电极与PICC支撑导丝相连,推注生理盐水,观察心电监护仪上的P波形态变化,使导管头端最终留置在最佳位置。观察置管的效果。结果:导管成功置入,无异位发生,患者带管期间化疗顺利,无相关并发症发生。结论:采用中华护理学会颁布的PICC尖端心腔内电图定位技术定位出来的导管尖端位置比较精准,具有临床指导意义。Objective:To summarize the nursing experience of PICC catheterization in 1 case of mirror human patient guided by endocardial electrogram.Methods:According to the latest group standard of Chinese Nursing Association,PICC tip electrocardiography was used to guide the catheterization operation.The patient’s condition was evaluated before catheterization and the length of catheterization was predicted.The electrocardiogram machine was connected in the right cardiogram mode,and the electrocardiogram was recorded before puncture.After the PICC catheter was successfully delivered through puncture,the sterile lead wire and the mirror electrode of the human left arm were connected with the PICC supporting guide wire,and the normal saline was injected to observe the P-wave morphological changes on the ECG monitor,so that the catheter head was finally placed in the best position.Observe the effect of tube placement.Results:The catheter was successfully inserted,no difference occurred,the chemotherapy was successful during the period of catheter,and no related complications occurred.Conclusion:The position of catheter tip obtained by PICC tip electrocardiography is accurate and has clinical guiding signif icance.

关 键 词：镜面人 心腔内电图 PICC 护理 

分 类 号：R473[医药卫生—护理学]