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PICC置管在重症监护室中的临床应用与护理分析 预览 被引量:3

Clinical application of PICC catheter in the intensive care unit and nursing analysis
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摘要 目的探讨重症监护室中PICC置管的临床应用与护理方法。方法选取于2013年5月-2015年5月我院重症监护室接受PICC置管的患者共60例。回顾性分析患者的临床资料,研究PICC置管的方法及其护理方法。结果一次性置管成功率为95.0%,置管成功率为100%;穿刺后并发症发生率为10.0%,其中,机械性静脉炎患者1例,占1.7%,导管堵塞患者2例,占3.3%,导管移位或脱出患者3例,占5.0%。经适当护理后,并发症情况均得到显著改善。结论 PICC置管在重症监护室中的应用能够迅速为患者建立一条静脉通道,降低反复穿刺的痛苦,保障输液的安全性,提升护理工作的效率及质量,值得推广。 Objective To explore the clinical application of PICC catheter in the intensive care unit and nursing methods. Methods 60 patients who were treated by PICC from May 2013 to May 2015 in intensive care unit,were selected.The clinical data of patients were retrospectively analyzed.The method and nursing method of PICC tube were studied. Results One-time success rate of catheter was 95.0%,and the success rate of catheter was 100%.The postoperative complication rate was 10%,among them,1 patient with mechanical phlebitis,accounting for 1.7%,2 patients with catheter jam,accounting for 3.3%,3 patients with catheter migration or out,accounting for 5.0%.The complications were significantly improved by appropriate nursing care. Conclusion The application of PICC in the intensive care unit can quickly establish a route for the patients,reduce stinging pain repeatedly,guarantee the safety of transfusion,and improve the efficiency and quality of nursing work.It is worth promoting.
作者 马小玮 石红 刘岩 刘蕊 修艳丽 夏娟 MA Xiaowei,SHI Hong,LIU Yan,LIU Rui,XIU Yanli,XIA Juan(ICU,Hongqi Hospital,Mudanjiang Medical University,Department of Hematology,Hongqi Hospital,Mudanjiang Medical University,Department of Chest urgery,Hongqi Hospital,Mudanjiang Medical University, Mudanjiang 157011,China)
出处 《中国医药科学》 2015年第16期109-111,共3页 China medicine and pharmacy
关键词 PICC置管 重症监护室 临床应用 护理 PICC catheter Intensive care unit Clinical application Nursing
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