44例PICC原发性上腔静脉内异位患者的护理

doi:10.3761/j.issn.0254-1769.2021.06.017

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (6): 904-906.DOI: 10.3761/j.issn.0254-1769.2021.06.017

44例PICC原发性上腔静脉内异位患者的护理

封凤(),徐红霞,王铃,胥喆,伍潇丽,蒋莉,金爱云()

310003 杭州市浙江大学医学院附属第一医院静脉治疗专科

收稿日期:2020-09-03 出版日期:2021-06-15 发布日期:2021-06-11
通讯作者: 金爱云
作者简介:封凤：女,本科,主管护师,E-mail：1503025@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2020KY540)

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

FENG Feng(),XU Hongxia,WANG Ling,XU Zhe,WU Xiaoli,JIANG Li,JIN Aiyun()

Received:2020-09-03 Online:2021-06-15 Published:2021-06-11
Contact: Aiyun JIN

摘要/Abstract

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%。

关键词: 导管插入术, 腔静脉,上, 异位, 护理

Abstract:

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 catheteriza-tion. 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%.

Key words: Cathetorization, Vena Cava,Superior, Malposition, Nursing Care

封凤,徐红霞,王铃,胥喆,伍潇丽,蒋莉,金爱云. 44例PICC原发性上腔静脉内异位患者的护理[J]. 中华护理杂志, 2021, 56(6): 904-906.

FENG Feng,XU Hongxia,WANG Ling,XU Zhe,WU Xiaoli,JIANG Li,JIN Aiyun. Nursing care of 44 cases of PICC patients with initial catheter malposition in superior vena cava[J]. Chinese Journal of Nursing, 2021, 56(6): 904-906.

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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

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