纵膈异常肿瘤患者PICC置管方法研究
Study on PICC Strategies in Patients with Abnormal Mediastinum Tumors
周萍 1俞新燕 1吴怡 1高利琴 1王慧勤 1胡胜男 1应丽1
作者信息
- 1. 浙江省肿瘤医院/中国科学院杭州医学研究所
- 折叠
摘要
总结43例纵膈异常肿瘤患者行经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)的实践经验.针对纵膈异常肿瘤患者PICC置管过程中易出现导管置入长度测量不准确以及送管困难等问题,通过多学科团队合作,构建科学的临床操作方案:置管前增加胸部增强CT评估,胸部CT结合体表测量确定导管预置入长度,置管中注意送管技巧及运用心电定位技术减少送管困难,及时发现导管异位,置管后特殊案例资料填写并加强延续性管理.43 位患者成功留置PICC导管,将导管置入理想位置为 34 例,置入理想位置准确率为 79.1%,上腔静脉下段位置7例,右心房2例,2例患者经导管外拔处理后导管尖端位于理想位置.
Abstract
To summarize the practical experience of 43 patients with abnormal mediastinum tumors who underwent peripherally inserted central catheter(PICC).In order to solve the problems such as inaccurate catheter length measurement and difficulty in catheter delivery during PICC placement in patients with abnormal mediastinum tumors,a scientific clinical operation plan was constructed through multidisciplinary team cooperation.Chest enhanced CT assessment was performed before catheterization,and chest CT combined with body surface measurement was used to determine the predetermined length of the catheter.During catheterization,attention was paid to the skills of catheterization and the use of electrocardiogram positioning technology to reduce the difficulty of catheterization.After catheterization,special case data were filled in and continuous management was strengthened.43 patients were successfully placed PICC.34 cases were placed in the ideal position,and the accuracy of the ideal position was 79.1%.7 cases were placed in the inferior segment of the superior vena cava,and 2 cases were in the right atrium.2 cases were in the ideal position of the catheter tip after catheter extubating.
关键词
纵膈异常/经外周静脉置入中心静脉导管/置管策略Key words
Abnormal mediastinum/Peripherally inserted central catheter/Catheterization strategy引用本文复制引用
基金项目
浙江省医药卫生科技计划项目(2022KY086)
浙江省医药卫生科技计划项目(2021KY545)
出版年
2024
NETL
NSTL
维普
万方数据