使用Seldinger导线在床边移除一个结结的外围插入的中央导管:案例报告
Christian Ramacciani Isemann1,2, Debora Verdi1, Michela Passeri1
1Department of Nursing and Midwifery, Azienda USL Toscana sud est, Arezzo, Italy.
The journal of vascular access
|January 7, 2026
概括
强行移除结结的外围插入中心导管 (PICCs) 可能会导致骨折. 重新引入导线以恢复支,可以在床边安全地提取结结的PICC,防止并发症.
科学领域:
- 血管接入装置 血管接入装置
- 干预心脏病学 干预心脏病学
- 医疗设备工程 医疗设备工程
背景情况:
- 外围插入的中央导管 (PICC) 对于长期的静脉注射治疗至关重要.
- 真正结合PICC是罕见的,但如果强行切除,则会造成导管骨折和栓塞的重大风险.
- 现有的管理难以移除PICC的方法可能具有侵入性.
研究的目的:
- 描述一项新的床边技术,以安全地移除结结的外围插入中心导管 (PICC).
- 突出一项策略,避免PICC相关并发症管理的侵入性程序.
主要方法:
- 一个老年成年女性的病例报告需要长时间的抗生素.
- 超声导向右基底PICC插入,然后在移除过程中遇到阻力.
- 将导线重新插入PICC中,以恢复柱子的强度,并促进受控的旋转提取.
主要成果:
- 周围插入的中央导管 (PICC) 在遇到阻力后成功地完好无损地被移除,在远端附近发现了一个松散的结.
- 导线重新引入的床边操作防止了导管断裂和栓塞.
- 新的PICC安置无并发症,患者没有出现与设备相关的后果.
结论:
- 在PICC移除过程中出现意想不到的阻力,需要暂停引力,并考虑机械原因,如结节.
- 重新引入导线以增加轴性是一种务实的床边策略,用于安全地提取结结的PICC.
- 这种方法可以避免需要使用更具侵入性的检索方法,如光镜捕获或外科干预.
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