应用“唯赢”式法原位置换PICC的效果观察

目的观察应用新技术“唯赢”式法原位置换经外周静脉置入中心静脉导管（PICC）的效果。方法对104例在使用PICC过程中证实导管堵塞的患者先行血管评估，再实施“唯赢”式法原位置换导管术。结果104例患者中95例原位置换成功，9例置换失败。在95例置换成功的患者中，1次成功者88例，2次成功者5例，4次成功者2例；其中第1例置换成功的患者使用PICC达32个月；有5例患者置换后出现静脉炎，但无一例发生感染性并发症。结论应用“唯赢”式法置换PICC导管效果良好，是PICC置管技术的一个进步。

Effectiveness of applying new technology "win" in situ replacement method to PICC

Objective To observe the effectiveness of applying new technology "win" in situ replacement method to peripherally inserted central catheters (PICC). Methods A total of 104 cases using PICC suffered from catheter blockages were assessed for the blood vessel, and then were implemented with method of "win" in situ replacement catheterization. Results Among104 cases, 95 cases showed success in-situ replacement, 9 cases showed failure. For the former, One-time Success of replacement showed among 88 cses, while two-time success of that among 5cases, four-time success of that among 2cases. One of the first successful cases lasted 32 months. 5 patients suffered from phlebitis, but there were no patients suffering from infectious complications. Conclusions using "win" replacement method is good effect, catheter usm catheter nsm an improvement.