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目的:探讨经外周穿刺中心静脉置入经外周穿刺中心静脉导管(PICC)异位发生的原因及处理方法。方法:对2015年1月至2016年1月湖北省麻城市人民医院收治的27例患者置入PICC导管发生异位的原因进行分析。结果:发生导管异位的主要原因与穿刺静脉的选择、测量导管的留置长度及体位等有关。结论:护士在置管时应正确评估导管留置长度,合理选择穿刺静脉,置管时摆好患者的体位,严格规范操作流程,能有效降低导管异位的发生。发生导管异位后,能及时选择正确的处理方法,有效的心理指导可减少导管异位的发生,提高置管的成功率。
Objective: To investigate the causes and treatment of ectopic peripancreatic catheterization (PICC) by central venous puncture. Methods: From January 2015 to January 2016, 27 patients admitted to Macheng City People’s Hospital of Hubei Province were enrolled in the causes of PICC catheter ectopic. Results: The main causes of catheter ectopia and the choice of punctured veins, catheter indwelling length measurement and so on. Conclusion: Nurses should correctly assess the length of indwelling catheters when catheter placement, select the appropriate venous puncture, put the patient’s position when catheter placement, strictly regulate the operation process, can effectively reduce the occurrence of catheter ectopic. After the occurrence of catheter ectopic, the timely selection of the right approach, effective psychological guidance can reduce the incidence of catheterization and improve the success rate of catheterization.