中心静脉血管通路尖端异位奇静脉识别及处理的研究进展

doi:10.3761/j.issn.0254-1769.2026.04.019

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (4): 566-570.DOI: 10.3761/j.issn.0254-1769.2026.04.019

中心静脉血管通路尖端异位奇静脉识别及处理的研究进展

刘春丽¹(), 滕雪², 张柳柳²^,^*(), 杨波³, 章毛毛², 李晓旭², 于蓉², 施如春¹

1.江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院血管通路中心南京市 210009
2.江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院护理部南京市 210009
3.江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院影像中心南京市 210009

收稿日期:2025-02-11 出版日期:2026-02-20 发布日期:2026-02-06
*通讯作者: 张柳柳，E-mail：liuliuzhang2021@163.com
作者简介:刘春丽：女，硕士，副主任护师，E-mail：13951710545@163.com
基金资助:
江苏省卫健委医学科研项目(M2021114)

Research progress on identification and management of malpositioned central venous access device tip into the azygos vein

LIU Chunli¹(), TENG Xue², ZHANG Liuliu²^,^*(), YANG Bo³, ZHANG Maomao², LI Xiaoxu², YU Rong², SHI Ruchun¹

1. Vascular Access Center，Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & the Affiliated Cancer Hospital of Nanjing Medical University，Nanjing 210009，China
2. Nursing Department，Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & the Affiliated Cancer Hospital of Nanjing Medical University，Nanjing 210009，China
3. Medical Image Center，Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & the Affiliated Cancer Hospital of Nanjing Medical University，Nanjing 210009，China

Received:2025-02-11 Online:2026-02-20 Published:2026-02-06
* Corresponding author: ZHANG Liuliu，Email：liuliuzhang2021@163.com
Funding program:
Medical Research General Project of Jiangsu Commission of Health(M2021114)

摘要/Abstract

摘要：

中心静脉血管通路尖端异位奇静脉可导致静脉穿孔、血栓形成、气管奇静脉瘘等并发症，尽早识别及处理可保障静脉治疗安全。该文对中心静脉血管通路尖端异位奇静脉的发生现状、不良结局、影响因素、识别方法、处理策略等内容进行综述，以期为临床实践提供参考。

关键词: 经外周置入中心静脉导管, 完全植入式静脉输液港, 中心静脉导管, 异位, 奇静脉, 并发症, 综述, 护理

Abstract:

Malpositioned central venous access device（CVAD） tip into the azygos vein can lead to complications such as venous perforation，thrombosis，and tracheo-azygos fistula. Early identification and management is essential for ensuring the safety of intravenous therapy. This review article summarizes the current status，adverse outcomes，risk factors，detection methods，and management strategies regarding malpositioned CVAD tip into the azygos vein，aiming to provide references for clinical practice.

Key words: Peripherally Inserted Central Catheter, Totally Implantable Venous Access Port, Central Venous Catheter, Malposition, Azygos Vein, Complications, Review, Nursing Care

刘春丽, 滕雪, 张柳柳, 杨波, 章毛毛, 李晓旭, 于蓉, 施如春. 中心静脉血管通路尖端异位奇静脉识别及处理的研究进展[J]. 中华护理杂志, 2026, 61(4): 566-570.

LIU Chunli, TENG Xue, ZHANG Liuliu, YANG Bo, ZHANG Maomao, LI Xiaoxu, YU Rong, SHI Ruchun. Research progress on identification and management of malpositioned central venous access device tip into the azygos vein[J]. Chinese Journal of Nursing, 2026, 61(4): 566-570.

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中心静脉血管通路尖端异位奇静脉识别及处理的研究进展

Research progress on identification and management of malpositioned central venous access device tip into the azygos vein

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