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外周中心静脉置管在肿瘤化疗患者中的应用体会
引用本文:蔡丽华,季健秋,赵萍.外周中心静脉置管在肿瘤化疗患者中的应用体会[J].实用临床医药杂志,2013,17(4):13-15.
作者姓名:蔡丽华  季健秋  赵萍
作者单位:江苏省泰兴市人民医院护理部,江苏泰兴,225400
摘    要:目的探讨外周中心静脉置管(PICC)在肿瘤患者化疗过程中的应用方法及效果。方法对86例采用PICC置管的肿瘤化疗患者在操作、维护、健康教育等方面实施规范化管理,预防或减轻并发症。结果 86例患者均顺利度过化疗周期,未发生导管脱出、导管破裂、导管感染及败血症等并发症,患者生活质量得到不同程度提高,效果满意。结论 PICC置管既有保护血管、留置时间长、并发症少等优点,又可以提高护理人员工作效率,并可减轻患者的痛苦,提高患者的生活质量,值得临床推广使用。

关 键 词:外周中心静脉置管  肿瘤化疗  观察与护理

Experience of peripherally inserted central catheter on the treatment of cancer patients with chemotherapy
CAI Lihua , JI Jianqiu , ZHAO Ping.Experience of peripherally inserted central catheter on the treatment of cancer patients with chemotherapy[J].Journal of Clinical Medicine in Practice,2013,17(4):13-15.
Authors:CAI Lihua  JI Jianqiu  ZHAO Ping
Abstract:Objective To explore the application processes and effect of peripherally inserted central catheter(PICC) in the treatment of cancer patients with chemotherapy.Methods Standardized management was implemented for 86 cancer patients with PICC and chemotherapy in procedures such as manipulation,maintenance and health education in order to prevent or reduce the complications.Results All of 86 patients underwent chemotherapy successfully,and no one had complications such as catheter detachment,catheter fracture,catheter infection and septicemia.Quality of life of the patients was improved obviously,and the result was satisfactory.Conclusion With the advantages such as vascular prevention,long duration of catheterization and less complications,PICC can not only improve work efficiency of nursing staffs and quality of life of patients,but also relieve sufferings of patients.So it is worthy of clinical popularization and application.
Keywords:peripherally inserted central catheter  cancer chemotherapy  observation and nursing
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