Cause analysis and nursing experience of a case of PICC catheter rupture in vitro
1例PICC导管体外破裂的原因分析及护理体会

摘要

目的 总结1例胰头癌Ⅲ期患者PICC导管留置期间发生体外破裂原因分析及护理对策。方法 PICC导管维护时发现体外导管与接头连接处有点状液体流出，立刻请静疗专科护士会诊，判断导管为体外破裂，将导管轻轻向外拔出约5cm，无菌操作下修剪导管破裂端连接新的导管连接头，PICC导管安全留置，同时做好患者教育。结果 PICC导管做中长导管使用，无并发症发生。结论 PICC导管一旦出现体外破裂，需立即判断、合理预留导管体外长度、妥善固定、加强患者教育等，可有效预防导管体外破裂现象发生。

Abstract

Objective To summarize the causes of external rupture of PICC catheter in a patient with stage III pancreatic head cancer and the nursing countermeasures.
Methods In the maintenance of PICC catheter, it was found that there was a point like liquid flowing out at the connection between the external catheter and the connector, and immediately asked the statics specialist nurse for consultation to determine that the catheter was broken in vitro, gently pull out the catheter about 5cm outward, trim the broken end of the catheter under aseptic operation and connect the new connector of the catheter, keep the PICC catheter safely, and at the same time, do a good job in patient education.
Results PICC catheter was used as a medium long catheter without complications.
Conclusion   Once the external rupture of PICC catheter occurs, it is necessary to immediately judge, reasonably reserve the external length of the catheter, properly fix the catheter, and strengthen patient education, which can effectively prevent the occurrence of external rupture of the catheter.