成人PICC堵塞的预防及处理专家共识.pdfVIP

成人PICC堵塞的预防及处理专家共识

中国抗癌协会肿瘤护理专业委员会，四川大学华西循证护理中心，四川大学华西医院肿瘤

中心

【摘要】

经外周静脉置入中心静脉导管（PICC）作为静脉治疗通路应用广泛，而导管堵塞是PICC使用过程

中最常见的并发症之一，发生导管堵塞可能导致拔管或重新置管，延长患者住院时间，增加医疗费用，影响治疗

的实施与患者的预后。导管堵塞的预防及处理意义重大，日常维护与护理操作应完整规范、执行到位，需建立基

于证据的标准流程以满足临床工作需要。本共识遵循WHO指南制订手册提供的方法与原则，形成包括PICC通

畅性评估、堵塞程度及类型评估、风险因素预防、堵塞处理在内的系统性规范化临床实践流程，以期减少PICC相

关并发症，保障PICC使用寿命及患者治疗安全。

【关键词】

经外周置入中心静脉导管；导管堵塞；专家共识；护理

PreventionandmanagementofPICCocclusioninadults:anexpertconsensus

ChineseAnti-CancerAssociationOncologicNursingCommittee;Evidence-basedNursingCenter,WestChina

Hospital,SichuanUniversity;CancerCenter,WestChinaHospital,SichuanUniversity

Correspondingauthors:JIANGYan,Email:jiangkunyan@163.com;LIJunying,Email:lijunying3535@163.com

【Abstract】Peripherallyinsertedcentralcatheter(PICC)iswidelyusedasanintravenoustherapypathway,and

catheterocclusionisoneofthemostcommoncomplicationsduringtheuseofPICC.Catheterocclusionmayleadto

extubationorre-catheterization,whichmaygenerateprolongedhospitalstayandincreasedmedicalcosts,thusaffecting

theimplementationoftreatmentandpatientprognosis.Thepreventionandtreatmentofocclusionareofgreat

significance.Dailymaintenanceandnursingoperationsshouldbecomplete,standardizedandimplementedinplace.

Evidence-basedstandardproceduresshouldbeestablishedtomeettheneedsofclinicalwork.Thisconsensusfollowsthe

methodsandprinciplesprovidedintheWHOguidelinesformulationmanual,andformsasystematicandstandardized

clinicalpracticeprocess,includingPICCpatencyassessment,catheterocclusiondegreeandtypeassessment,riskfactor

prevention,blockagemanagement,etc.Thepurposeofthisconsensusistoreducecatheter-relatedcomplications,ensure

thelongevityofPICCandthesafetyofpatienttreatment.

【Keywords】Peripherallyinsertedcentralcatheter;Catheterocclusion;Expertconsensus;Nursingca