经腋静脉行心腔内电图定位技术引导双隧道PICC置管患者的护理

doi:10.3761/j.issn.2096-7446.2025.05.014

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (5): 582-584.doi: 10.3761/j.issn.2096-7446.2025.05.014

经腋静脉行心腔内电图定位技术引导双隧道PICC置管患者的护理

程秋琴(), 张新政, 周建红, 高雪彤

310006 杭州市浙江中医药大学附属第一医院血液科

收稿日期:2024-08-26 出版日期:2025-05-10 发布日期:2025-04-28
作者简介:程秋琴：女，本科，主管护师，E-mail：390629008@qq.com
基金资助:
浙江省中医药科技计划项目(2024ZL439)

Nursing care of patients undergoing double-tunnel PICC catheterization via the axillary vein guided by intracavitary electrocardiography

CHENG Qiuqin(), ZHANG Xinzheng, ZHOU Jianhong, GAO Xuetong

Received:2024-08-26 Online:2025-05-10 Published:2025-04-28

摘要/Abstract

摘要：

总结8例经腋静脉行心腔内电图定位技术引导双隧道PICC置管患者的护理经验。针对该组患者上臂静脉血管条件差、置管难度高，易并发血流感染及静脉血栓等问题，采取组建跨学科PICC置管小组、详细分析置管难点、实时监测置管危机、全面评估潜在并发症、高度重视导管维护等措施。经精细化护理，8例患者均顺利置管。随访期间患者带管体验良好，未发生导管相关并发症。

关键词: 心腔内电图, 经外周置入中心静脉导管, 双隧道法, 腋静脉, 护理实践

Abstract:

To summarize the nursing experience of 8 patients undergoing double-tunnel PICC via the axillary vein guided by intracavitary electrocardiography. In view of the risks and difficulties of catheterization caused by poor upper extremity venous conditions，high catheterization difficulty，and susceptibility to bloodstream infections and venous thrombosis，we established an interdisciplinary PICC catheterization team，and implemented detailed analysis of catheterization difficulties，real-time monitoring of catheterization risks，comprehensive assessment of potential complications，and heightened emphasis on catheter maintenance. Through meticulous nursing care，the eight patients successfully underwent PICC catheterization. Patients had a good experience with the catheter during the follow-up period，with no catheter-related complications.

Key words: Intracardiac Electrocardiogram, Peripherally Inserted Central Venous Catheter, Double-Tunnel, Axillary Vein, Nursing Practice

程秋琴, 张新政, 周建红, 高雪彤. 经腋静脉行心腔内电图定位技术引导双隧道PICC置管患者的护理[J]. 中华急危重症护理杂志, 2025, 6(5): 582-584.

CHENG Qiuqin, ZHANG Xinzheng, ZHOU Jianhong, GAO Xuetong. Nursing care of patients undergoing double-tunnel PICC catheterization via the axillary vein guided by intracavitary electrocardiography[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 582-584.

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经腋静脉行心腔内电图定位技术引导双隧道PICC置管患者的护理

Nursing care of patients undergoing double-tunnel PICC catheterization via the axillary vein guided by intracavitary electrocardiography

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