1例痉挛性偏瘫患者PICC导管部分血栓性堵塞的护理

Nursing experience of partial thrombotic blockage of peripherally inserted central catheter in a patient with spastic hemiplegia after stroke

本文回顾1例痉挛性偏瘫患者经外周静脉置入中心静脉导管(PICC)部分血栓性堵塞的护理措施。患者中风后高级神经中枢的功能被破坏,上肢长期屈肌状态,增加了护士导管维护难度。置管2个月后发生导管内部分血栓性堵塞,在给予药物等处理后,PICC得以安全留置。

This paper summarized the nursing experience of partial thrombotic blockage of pe⁃ripherally inserted central catheter(PICC)in a patient with spastic hemiplegia after stroke.Due to the higher nervous system dysfunction after stroke and the long-term flexor state of upper limbs,the patient was vulnerable to catheter-related complications,which increasing the difficulty in catheter maintenance.The partial thrombotic blockage had occurred at two months after PICC placement.After drugs medication and other treatments,PICC was finally safely retained.