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PICC是经外周静脉穿刺置管后使导管尖端位于上腔静脉等中心静脉的方法~([1]),通常是X线检查来确定其位置,被认为是PICC尖端定位的金标准~([2])。现我科有一例患者例外,在行PICC置管结束后,操作过程顺利,行导管尖端X线定位位于动脉,因为认定X线定位PICC尖端位置正确,而行拨管,换另一侧重复置管。而再次置管时遇到同样的结果,后通过护理操作实践、结合临床综合分析正确判断,没有再次拨管而成功进行了全程治疗。
PICC is the method of positioning the catheter tip in the superior vena cava and other central veins after peripheral venous catheterization (usually referred to as X-ray examination), which is considered as the gold standard for PICC tip positioning [([ 2]). Now our department has a patient exception, after the end of the line PICC catheterization, the operation was smooth, the line catheter tip X-ray positioning in the artery, because the X-ray positioning PICC tip position is correct, and line dial, for the other side of the repeat tube. The same result was encountered when the catheter was re-inserted. After the practice of nursing operation and the correct judgment of the comprehensive clinical analysis, there was no successful dial-in treatment and the whole course of treatment was successfully conducted.