右位主动脉弓患者行改良PICC置管的护理

doi:10.3761/j.issn.2096-7446.2023.01.013

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (1): 58-60.doi: 10.3761/j.issn.2096-7446.2023.01.013

右位主动脉弓患者行改良PICC置管的护理

马雅敏, 江子芳, 傅林娟, 高利琴

310022 杭州市中国科学院大学附属肿瘤医院/浙江省肿瘤医院胸外科（马雅敏）,护理部（江子芳）,静脉治疗护理中心（傅林娟,高利琴）

收稿日期:2022-02-24 出版日期:2023-01-10 发布日期:2023-01-13
通讯作者: 江子芳,E-mail：jiangzf@zjcc.org.cn
作者简介:马雅敏：女,硕士,主管护师,E-mail：706340690@qq.com
基金资助:
浙江省医药卫生科技计划项目（2022KY648）

Nursing care of a patient with right aortic arch undergoing modified PICC intubation

MA Yamin, JIANG Zifang, FU Linjuan, GAO Liqin

Received:2022-02-24 Online:2023-01-10 Published:2023-01-13

摘要/Abstract

摘要： 总结1例右位主动脉弓先天缺陷患者基于危机预防理论行PICC置管的护理体会。针对患者先天性血管畸形,及时成立多学科危机管理小组;充分评估,分析置管难点与风险,确立危机;提供心理支持与知情同意,沉静面对危机;通过危机监测即特殊体位安置,改良置管方法;多途径联合体表测量预留置管长度,保障置管安全。经过精心护理,该患者治疗顺利结束予拔管,未发生导管相关并发症。

关键词: 危机预防理论, 右位主动脉弓, 经外周置入中心静脉导管, 导管插入术, 中心静脉, 危重病护理

Abstract: To summarize the nursing experience of PICC catheterization in a patient with right aortic arch congenital defect based on crisis prevention theory. In view of the risks and difficulties of catheterization caused by congenital vascular malformation,we established a multidisciplinary crisis management team in time. Before catheterization,we made a full assessment,analyzed the difficulties and risks of catheterization,and identified the crisis. We provided psychological support and consent to patients and their families,so that they could face the crisis calmly. Through crisis monitoring,such as catheterization,we put the patient in a special position and improved the catheterization method. At the same time,we reserved the length of catheterization for patients through various ways and combined with the method of body surface measurement,so as to ensure the safety of catheterization for the patient. After our careful care,the treatment of the patient was successfully completed and we removed the tube,no catheter-related complications occurred during the catheter indwelling.

Key words: Crisis Prevention Theory, Right Aortic Arch, Peripherally Inserted Central Catheters, Catheterization, Central Venous, Critical Care Nursing

马雅敏, 江子芳, 傅林娟, 高利琴. 右位主动脉弓患者行改良PICC置管的护理[J]. 中华急危重症护理杂志, 2023, 4(1): 58-60.

MA Yamin, JIANG Zifang, FU Linjuan, GAO Liqin. Nursing care of a patient with right aortic arch undergoing modified PICC intubation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 58-60.

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右位主动脉弓患者行改良PICC置管的护理

Nursing care of a patient with right aortic arch undergoing modified PICC intubation

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