外周静脉置入中心静脉导管术并发症的预防及处理

目的探讨外周静脉置入中心静脉导管（PICC）术并发症的预防及处理措施。方法回顾性分析2008年3月-2011年10月我院接受PICC术的358例患者的临床资料。结果本组358例中发生相关并发症41例，发生率为11．5％，其中静脉炎9例（2．5％），导管相关性感染6例（1．7％），导管脱出6例（1．7％），导管堵塞13例（3．6％），穿刺点渗血7例（2．0％），经采取正确处理措施，均顺利恢复。结论严格掌握PICC的操作技能，及时采取有效的预防及处理措施，可降低并发症的发生率。

Precaution and treatment measures of complications of peripherally inserted central catheter

Objective To explore the precaution and treatment measures of complications of peripherally inserted central catheter（PICC）. Methods 358 clinical data performed as PICC from March 2008 to October 2011 were analyzed retrospectively.Results The complication were observed in 41 patients among 358 cases with a complication rate of 11.5%, including 9 cases with phlebitis（2.5%）, 6 cases with catheters related infection（1.7%）, 6 cases with catheter migration（1.7%）, 13 case with catheter obstruction（3.6%）, 7 cases with puncture oozing（2.0%）. Through correct treatment measures, all the complications were treated satisfactorily. Conclusions Mastering the skill of PICC strictly and taking effective precaution and treatment measures promptly may significantly decrease the complication incidence rates.