Optimal proportion between peripherally inserted central catheter vein and catheter among hematologic tumor patients
10.3760/cma.j.issn.1674-2907.2019.06.014
- VernacularTitle:血液肿瘤患者PICC置管静脉与导管直径最佳比例的研究
- Author:
Xiaomei QI
1
;
Xinhong DING
;
Guoqin REN
;
Hongxia HUA
;
Qi CAO
Author Information
1. 南京医科大学附属无锡二院血液科 214002
- Keywords:
Hematologic neoplasms;
? Hemorrhage;
? PICC;
? Proportion between vein and catheter;
Catheter obstruction
- From:
Chinese Journal of Modern Nursing
2019;25(6):720-722
- CountryChina
- Language:Chinese
-
Abstract:
bjective? To explore the proportion between peripherally inserted central catheter (PICC) vein and catheter on hemorrhage and plugging among hematologic tumor patients. Methods? From February 2016 to February 2018, we selected 105 patients of department of hematology in Wuxi Second People's Hospital of Nanjing Medical University as subjects. Before PICC, vein diameter was measured with the portable color doppler ultrasound system to obtain the proportion between catheterization vein and catheter diameter. Among 105 PICC catheterization cases of hematologic tumor patients, proportions between catheterization vein and catheter diameter were divided into three groups including ＜2,2 to 3,＞3,35 cases in each group. We observed the incidences of hemorrhage and plugging at different proportions of catheterization. Results? There was no statistical difference in the amount of bleeding of hematologic tumor patients among three groups after catheter (P＞0.05). There was a statistical difference in the incidence of plugging (P＜0.05). Conclusions? The incidence of hemorrhage and plugging of hematologic tumor patients after PICC cannot be ignored. The proportion between catheterization vein and catheter diameter has no obvious effect on hemorrhage after catheter, but it can affect the incidence of catheter plugging. Therefore, we should apply visual assessment instrument to exactly measure the internal diameter of vein and select appropriate catheter to reduce the complications after catheterization.
