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撤除经外周静脉穿刺中心静脉导管(PICC)看起来是很简单的操作,但存在风险,除了必须把拔管风险告知患者及家属做到知情同意,还要警惕导管断裂体内、空气栓塞和血栓脱落等并发症发生,同时做好必要防范和急救措施。如何更好地安全拔除导管把患者伤害降至最低,也是临床护理工作一直在探讨的。本院自2015年1月~2016年5月以来,采取改进PICC拔管的方法,取得了良好的效果,现总结如下。
Removal of a peripheral venovenous central venous catheter (PICC) appears to be a straightforward procedure, but at risk, except that informed consent must be given to patients and their families for the risk of extubation, as well as guarding for catheter breakage, air embolism, and thrombus shedding And other complications, while doing the necessary preventive and first aid measures. How to better safely remove the catheter to minimize the patient’s injury, but also clinical nursing work has been explored. The hospital from January 2015 ~ May 2016 since taking PICC extubation method, and achieved good results, are summarized as follows.