B超联合腔内心电图定位法用于血液科患者PICC置管.pdfVIP

1 5 V01．30No．23 · · of ScienceDec．20 36 JournalNursing B超联合腔内心电图定位法用于血液科患者PICC置管 赵洁，姚晶晶，陈敏，李红梅，许汇娟，梁玉婷 心电图组各75例，分别采用B超引导置管、B超联合心电图定位法引导置管，并通过P波的变化确定导管末端的位置。结果B超 0．01)。结论B超联合心电图定位法应用于血液科患者PICC置管，可提高导管末端一次性到位率，减少术中出血量。 关键词：血液疾病；PICC；B超； 腔内心电图定位法； X线； 导管异位 中图分类号：R472文献标识码：ADOI：10．3870／j．issn．1001—4152．2015．23．036 Effectsof combinedwith onPICCinsertionin with diseasesZhao type-Bultrasonography electrocardiography patientshematological Jie，YaoJ Min，Li ingjing，ChenHongmei，XuHuijuan，LiangYuting．DepartmentofHematology，NanfangHospital， Southern,Medical 510515，China University，Guangzhou To the andeffectivenessof ultrasoncombinedwith Abstract：Objectiveinvestigatesafety type—B PICCinsertionin fromthe of AtotalOf150 with diseaseswere patients departmenthematology．Methodspatientshematological dividedintoacontrol andanobservation PICCinsertionwasconductedin randomly group group．Type-Bultrasonographyguided thecontrol combinedwithECG PICCinsertionwas intheobservation group，whiletype-Bultrasonography guided performed of ofcatheterwas the ofPwave．ResultsTherateofsuccessful group．Thepositiontip judgedby change inthecontrol was lowerthanthatintheobservation amountof and of groupsignificantly group(97．26％)；thebleedinglength catheterizationweremoreinthecontrol thanintheobservation group group(PO．05，PO．01)．ConclusionType—Bu[trasonogra— combinedwithECGto PICCinsertionin with diseasescouldenhancetherateofsuccessfulcathe— hematological phy