神经外科重症患者PICC常见并发症及临床处理对策

Theanalysis of the common complications and PICC clinical treatment in severe cases of neurosurgery

目的探讨神经外科重症患者PICC常见并发症及其临床处理方式分析。方法回顾性分析我院2008年5月～2012年1月间收治的268例接受PICC置管术的患者的临床资料,探讨PICC患者术后的常见并发症,对患者行PICC术后的并发症发生率和处理措施及其疗效进行分析。结果 268例患者发生穿刺点渗血的14例,静脉炎的10例,导管部分脱出的6例,导管堵塞的6例,意外拔管的2例,出现心率失常的患者2例。39例出现并发症的患者中,经过相应的治疗和护理措施后并发症痊愈,继续进行PICC治疗或带管出院。结论术后密切监护穿刺点,对导管进行精心护理,及早发现并发症并进行积极处理,能够明显减少并发症的发生,减少患者痛苦,延长导管成功留置的时间,保证治疗顺利进行。

Objective To analyze the common complications and PICC clinical treatment in severe cases of neurosurgery.Methods 268 cases who received PICC treatment in our hospital were analyzed retrospectively.The common complications and clinical treatment were analyzed.Results 14 cases of the puncture point ooze blood,10 cases of phlebitis,6 cases of emerging tube,6 cases of jam of tube,2 cases of accident emerging tube,2 cases of arrhythmia among the all 268 cases.After the treatment and nursing measures,the 39 cases with complications recovered and continued the treatment with PICC.Conclusion Closely monitor the puncture point,elaborate care for the PICC tube,early detection and positive treatment can significantly reduce complications and the pain of patients.It can help prolonging the time of indwelling catheter and ensure the successful treatment.