摘要
目的探讨白血病化疗使用外周中心静脉置管(PICC)的并发症及护理对策。方法对71例白血病化疗的患者使用外周中心静脉置管进行观察,导管留置最长8个月,最短1个月。结果发生并发症10例,其中3例静脉炎,3例导管感染,3例导管堵塞,1例局部渗血。结论PICC导管易操作、安全性高、保留时间长,符合白血病化疗的需要,但在使用过程中应严格执行无菌操作,合理选择静脉和导管,加强置管后的观察和护理,以提高PICC导管使用安全性。
OBJECTIVE To study the nursing strategies for the complications of peripherally inserted central venous catheter （PICC） used in patients with leukemia chemotherapy. METHODS Seventy-one patients with PICC for anti-leukemic chemotherapy were observed. The indwelling time of catheter varied from 1 month to 8 months. RESULTS Ten patients developed PICC related complications, 3 phlebitis, 3 infections, 3 occlusions and 1 was with bleeding. CONCLUSIONS With the characteristics of easy operation, high safety and long time indwelling, PICC has been widely used in the chemotherapy of leukemia patients. To improve safety, the nusing strategies should on strictly sterile operation, application of correct veins and catheters, careful observation and nursing.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第10期1220-1221,共2页
Chinese Journal of Nosocomiology
