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经外周静脉穿刺的中心静脉导管异位影响因素及预防措施的研究进展

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本文综述经外周静脉穿刺的中心静脉导管(PICC)异位的不良影响,分析原发性与继发性导管异位的影响因素及预防措施.对穿刺血管和部位的选择、体表测量的预置长度、患者配合、阻断颈部静脉、合理应用可视化设备、避免中心静脉压升高及肢体过度活动、加强外固定、持续监测及精细化维护、有效健康教育等方面进行分析和阐述,以期为临床实践和提高护理质量提供参考.在临床实践中,医务人员应重视上述因素,采取相应措施降低PICC异位带来的风险,从而保障患者安全并提高治疗效果.
Research progress on influencing factors and preventive measures of peripherally inserted central venous catheterization ectopia
This article reviews the adverse effects of peripherally inserted central venous catheterization(PICC)ectopia,analyzes the influencing factors and preventive measures of primary and secondary catheter ectopia.It analyzes and elaborates on selection of puncture blood vessels and sites,preset length for body surface measurement,patient cooperation,blockage of cervical veins,reasonable use of visualization equipment,avoidance of elevated central venous pressure and exc-essive limb activity,strengthening external fixation,continuous monitoring and refined maintenance,and effective health education,in order to provide reference for clinical practice and improve nursing quality.In clinical practice,medical personnel should pay attention to the above factors and take corresponding measures to reduce the risk of PICC ectopia,in order to ensure patient safety and improve treatment effectiveness.

Peripherally inserted central venous catheterizationCatheter ectopiaResearch progress

骆春燕、苟菊香

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四川大学华西医院甲状腺外科/四川大学华西护理学院,四川成都 610041

经外周静脉穿刺的中心静脉导管 导管异位 研究进展

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(22)