1例PICC尖端异位致胸腔积液患者的护理

doi:10.3761/j.issn.0254-1769.2026.16.014

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (16): 2261-2263.DOI: 10.3761/j.issn.0254-1769.2026.16.014

1例PICC尖端异位致胸腔积液患者的护理

金向红(), 曹秀珠, 曾旭芬, 赵林芳^*()

浙江大学医学院附属邵逸夫医院护理部杭州市 310016

收稿日期:2026-03-11 出版日期:2026-08-20 发布日期:2026-08-14
*通讯作者: 赵林芳，E-mail：3193159@zju.edu.cn
作者简介:金向红：女，本科，主管护师，E-mail：178984316@qq.com
第一联系人：作者贡献声明
金向红：临床实践、文献检索、论文撰写、基金支持；曹秀珠：资料收集、论文修改；曾旭芬：临床实践、资料收集；赵林芳：论文指导及修改
基金资助:
浙江省医药卫生科技计划项目(2025KY879)

Nursing care of a patient with pleural effusion caused by tip malposition of the PICC

JIN Xianghong(), CAO Xiuzhu, ZENG Xufen, ZHAO Linfang^*()

Nursing Department， Sir Run Run Shaw Hospital，Zhejiang University School of Medicine， Hangzhou 310016， China

Received:2026-03-11 Online:2026-08-20 Published:2026-08-14
* Corresponding author: ZHAO Linfang，E-mail：3193159@zju.edu.cn
Funding program:
Zhejiang Provincial Medical and Health Science and Technology Program(2025KY879)

摘要/Abstract

摘要：

总结1例PICC尖端继发性异位至无名静脉并发导管相关性血栓，最终导管尖端发生血管腔外异位导致胸腔积液患者的护理经验。护理要点：早期识别导管尖端血管腔外异位；明确PICC尖端血管腔外异位的原因和应急处理措施；制订拔管后抗凝策略。经过积极的治疗与护理，患者在拔管后第7天康复出院。

关键词: 经外周静脉穿刺的中心静脉导管, 导管异位, 导管相关性血栓, 胸腔积液, 并发症, 护理

Abstract:

This article summarizes nursing care for a patient with secondary malposition of the PICC tip into the innominate vein complicated by thrombosis，followed by extravascular malposition of the catheter tip leading to pleural effusion. The nursing care included early identification of extravascular malposition；clarify the cause of extravascular malposition，and establish contingency measures；establishing an anticoagulation strategy after catheter removal. After active treatment and nursing care，the patient recovered and was discharged on the 7th day after catheter removal.

Key words: Peripherally Inserted Central Catheter, Catheter Malposition, Catheter Related Thrombosis, Pleural Effusion, Complication, Nursing Care

金向红, 曹秀珠, 曾旭芬, 赵林芳. 1例PICC尖端异位致胸腔积液患者的护理[J]. 中华护理杂志, 2026, 61(16): 2261-2263.

JIN Xianghong, CAO Xiuzhu, ZENG Xufen, ZHAO Linfang. Nursing care of a patient with pleural effusion caused by tip malposition of the PICC[J]. Chinese Journal of Nursing, 2026, 61(16): 2261-2263.

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参考文献 16

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1例PICC尖端异位致胸腔积液患者的护理

Nursing care of a patient with pleural effusion caused by tip malposition of the PICC

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