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目的观察巨大儿经外周静脉置入中心静脉导管(PICC)不同穿刺部位留置导管并发症发生情况及护理对策。方法选取行PICC置管巨大儿130例作为研究对象,观察PICC留置导管不同部位并发症发生情况,并根据并发症发生情况提出护理对策。结果 PICC置管并发症发生率下肢静脉为7.84%,低于上肢静脉的21.52%(P<0.05)。最常见并发症为静脉炎(9.23%),其次为导管异位、导管堵塞、渗液及导管脱落。头静脉、腘窝静脉并发症发生率最高,分别为50.00%、33.33%,其次为腋静脉、肘正中静脉、股静脉,贵要静脉、大隐静脉并发症发生率较低。结论巨大儿PICC置管不同部位并发症发生率不同,头静脉和腘窝静脉易引起并发症发生,常见并发症为静脉炎,临床中实施针对性护理对预防不同部位并发症发生有重要意义。
Objective To observe the incidence of catheter complications and its nursing strategies in macrophages infused into peripherally inserted central venous catheters (PICCs) at different puncture sites. Methods A total of 130 cases of macrosomia with PICC catheter were selected as the study objects to observe the occurrence of complications in different parts of PICC indwelling catheter and to propose nursing countermeasures according to the occurrence of complications. Results PICC catheter complications rate of lower extremity veins 7.84%, lower than 21.52% of upper limb veins (P <0.05). The most common complication was phlebitis (9.23%), followed by catheterization, catheter blockage, effusion and catheter shedding. The incidence rates of cephalic vein and popliteal vein were the highest (50.00% and 33.33% respectively), followed by the axillary vein. The median elbow vein, femoral vein, valuable vein and saphenous vein had a lower incidence of complications. CONCLUSION: The incidence of complications in different parts of PICC in macrosomia children is different. The head vein and popliteal vein can easily cause complications. The common complication is phlebitis. The implementation of targeted nursing in clinic is of great importance in preventing the complications of different parts.