b超引导周围置管过程中存在的问题分析及解决方法

Zu-Yan Fan, Tian-Tian Wang, Yun Xiao, Yang-En Zhang, Dong-Hao Wu, Zhi-Huan Lin, Dan-Chun Wu, Jin-Xiang Lin
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引用次数: 1

摘要

目的探讨b超引导下外周中心导管(PICC)置入过程中出现的问题,并对这些问题的有效处理进行总结。方法回顾性收集2013年7月至2015年7月2年间插入的所有PICCs的资料。采用Seldinger入路置入PICC导管,在b超引导下由基底静脉置入上腔静脉。此外,在人保过程中提出的问题将立即得到处理。结果所有picc均成功插入。在PICC置管过程中遇到的问题,如静脉穿刺失败、导丝插入困难、导管难以输送等。结论b超引导入路提高了PICC置管的平均成功率,特别是对于肘浅静脉条件较差的亚群。由于PICC过程中出现的项目,术前有效预防和术中治疗是必要的。
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Problem analysis and solutions of the B-ultrasound-guided peripherally inserted central catheter process

Objective

The purpose of this study was to address the issues that occur during the B-ultrasound guided peripherally inserted central catheter (PICC) process and to give a summary of the effective management to these issues accordingly.

Methods

The information was collected retrospectively on all of the 1950 PICCs inserted during the 2-year period from July 2013 to July 2015. PICC catheter insertion was performed using the Seldinger approach and was delivered from the basilic vein to the superior vena cava in a B-ultrasound guided manner. Moreover, the point raised during the PICC process would be treated immediately.

Results

All of the PICCs were inserted successfully. The problems encountered are shown in the inserted central catheter (PICC) process, such as failures of venipuncture, the problem of inserting guide wire, the catheter was difficult to be delivered etc.

Conclusions

The B-ultrasound guided approach enhanced the average success regarding the PICC insertion, particularly for the subset with a poor condition in the elbow superficial vein. Due to the items that emerged in the PICC process, the effective prevention prior to surgery and treatment during the operation would be necessary.

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