PICC置管导致上肢肿胀的护理
发表时间:2014-01-21 浏览次数:882次
曾丽吟,王湘郴,赵洁等.PICC置管导致上肢肿胀的护理[J].吉林医学,2013,34(28):5891-5891.
PICC 知识脉络 肿胀 知识脉络
曾丽吟 王湘郴 赵洁 吴燕妮 莫志芳
广东省深圳市福田区人民医院肿瘤血液科,广东,深圳,518033
2013
5891-5891
知网,万方
目的:探索PICC置管出现上肢肿胀的护理措施.方法:对PICC置管后出现上肢肿胀的患者及时给予对症处理,指导患者进行肢体锻炼,外敷药物等以减轻肿胀程度.结果:在置管的250例患者中,出现肢体肿胀的有25例,经过护理干预后,肿胀消退的22例,拔管1例.结论:患者在PICC置管后由于紧张、导管刺激而发生反应性痉挛,引起局部血液循环障碍,出现局部水肿、疼痛,通过有效护理措施,可预防或减轻肿胀的发生. ObjectiveTo explore the nursing measure of upper limb swelling caused by PICC catheter.MethodWe gave symptomatic treatment in time,guided the patients to perform physical exercise and gave topical drugs to relieve the swelling degree caused by PICC catheter.ResultsIn 250 cases,25 patients had limb swelling.After nursing intervention,swelling disappeared in 22 cases,1 case had to extubate.ConclusionPatients with the PICC tube due to the tension,the stimulating catheter and react spasm,can cause local blood circulation obstacle,and appear local edema,pain.We can prevent or reduce swelling occurs through effective nursing measures.