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原位置换PICC导管在晚期肿瘤患者中的临床应用
引用本文:祁红霞,李红娟,商锋华,侯玉珠,张小新,张艳林,鞠红霞. 原位置换PICC导管在晚期肿瘤患者中的临床应用[J]. 实用临床医药杂志, 2012, 16(22): 126-127
作者姓名:祁红霞  李红娟  商锋华  侯玉珠  张小新  张艳林  鞠红霞
作者单位:江苏省靖江市人民医院肿瘤内科,江苏靖江,214500
摘    要:目的探讨原位置换经外周静脉穿刺中心静脉导管(PICC)的可行性、安全性及实用性。方法对使用美国BD公司生产的5Fr PICC置管312例患者中由于体外导管与圆盘连接处液体渗漏及PICC导管部分脱出体外而必需拔管的8例患者进行原位置换PICC导管。结果 8例患者原位置换PICC导管均一次成功,输液通畅。结论原位置换PICC导管可行、安全、快捷,可降低非计划拔管的发生率,改善护患关系,真正解决晚期肿瘤患者输液难题,值得推广。

关 键 词:原位置换  PICC  晚期肿瘤  非计划拔管

Clinical application of situ replacement of PICC catheter in patients with advanced tumor
QI Hongxia , LI Hongjuan , SHANG Fenghua , HOU Yuzhu , ZHANG Xiaoxin , ZHANG Yanlin , JU Hongxia. Clinical application of situ replacement of PICC catheter in patients with advanced tumor[J]. Journal of Clinical Medicine in Practice, 2012, 16(22): 126-127
Authors:QI Hongxia    LI Hongjuan    SHANG Fenghua    HOU Yuzhu    ZHANG Xiaoxin    ZHANG Yanlin    JU Hongxia
Affiliation:(Jingjiang People′s Hospital,Jingjiang,Jiangsu,214500)
Abstract:Objective To explore the feasibility,safety and practicability of situ replacement of peripherally inserted central catheter(PICC).Methods Among 312 patients with 5Fr PICC catheterization(manufactured by American BD company),8 patients underwent situ replacement of PICC catheter because of leakage in connection part of disk and vitro catheter as well as extubation due to partial emergence of catheter.Results All of 8 patients underwent situ replacement of PICC catheter successfully for one time,and infusion was smooth.Conclusion Situ replacement of PICC catheter is feasible,safe and fast,which can reduce the incidence rates of unexpected extubation,improve the nurse-patient relationship,solve the problem of infusion in patients with advanced tumor,so it is worthy of popularization.
Keywords:situ replacement  PICC  advanced tumor  unexpected extubation
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