上海交通大学学报（医学版）

›› 2013, Vol. 33 ›› Issue (5): 600-.doi: 10.3969/j.issn.1674-8115.2013.05.018

• 专题报道（临床护理与管理） • 上一篇    下一篇

一例PICC导管断裂后进入肺动脉的急救处理

仇晓霞1, 程杰军2   

  1. 上海交通大学 医学院附属仁济医院 1.肿瘤科, 2.放射科, 上海 200127
  • 出版日期:2013-05-28 发布日期:2013-05-28
  • 通讯作者: 程杰军, 电子信箱: chengjiejun@renji.com。
  • 作者简介:仇晓霞（1974—）, 女, 副主任护师, 学士； 电子信箱: qxx1003@yahoo.com.cn。

Emergency treatment of one case of PICC rupture and migration into pulmonary artery

QIU Xiao-xia1, CHENG Jie-jun2   

  1. 1.Department of Oncology, 2.Department of Radiology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2013-05-28 Published:2013-05-28

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摘要：

对1例经外周静脉穿刺置入中心静脉导管(PICC)断裂移位至心腔和肺动脉内的患者行双侧股静脉穿刺，置入5F-PIG导管及导丝，先将PICC的一端拉入下腔静脉内，再置入鹅颈套圈套取PICC，自血管鞘拉出体外。PICC成功取出，穿刺点无出血、感染等并发症。

关键词: 经外周静脉穿刺置入中心静脉导管, 导管断裂, 急救处理

Abstract:

The peripherally inserted central catheter (PICC) ruptured and the catheter tips migrated into cardiac chamber and pulmonary artery in one patient. For removal of the PICC, bilateral femoral vein puncture was performed, one 5F-PIG catheter and one guided wire were placed via femoral vein, one PICC tip was dragged into the inferior vena cava and was removed through vascular sheath with gooseneck snare. The PICC was removed successfully, with no infection and hemorrhage of puncture point after treatment.

Key words: peripherally inserted central catheter, catheter rupture, emergency treatment