血液肿瘤患者PICC导管非计划性拔管原因分析与对策

The cause analysis and countermeasures on unplanned extubation of PICC in the blood cancer patients

目的分析本院PICC导管留置患者预设留管期间非计划拔管的原因,总结避免或减少该现象发生的方法。方法选择2007年5月～2011年10月来本院行PICC置管的136例血液肿瘤患者进行回顾性分析。结果入选的136例患者32例(23.53%)出现非计划拔管。结论加强对血液肿瘤患者治疗期间PICC导管的管理,给患者及其家属讲解相关安全知识和注意事项,可以降低非计划拔管的发生率,减少各种并发症的发生,减轻患者痛苦及精神负担。

Objective To investigate the cause of unplanned extubation of PICC in the blood cancer patients in order to avoid or reduce the summary about unplanned extubation of PICC.Methods Retrospective analysed the clinical data of one hundred and thirty-six patients with blood cancer who were treated in the department of hematology in our hospital from May 2007 to October 2011.Results Thirty-two patients with blood cancer（23.53%）arised unplanned extubation of PICC from them.Conclusion Strengthening the PICC catheter management during treatment and explain safety knowledge can reduce the incidence of unplanned extubation of PICC,complications for less pain and mental burden.