Nursing intervention of a case of severe skin allergy at the site of indwelling catheter after PICC
一例PICC术后置管部位严重皮肤过敏的护理干预

摘要

PICC是指将外周中心静脉导管经肘窝静脉沿着血管送至上腔静脉的一种置管技术,该方法可以使药物直接注射进血流量大且流速快的中心静脉中,减轻了反复穿刺给患者带来的痛苦和长期使用刺激性药物给患者的血管带来损伤,另外可以减少护理的工作量,优势明显，但是使用该方法也存在一些缺陷,如医用黏胶相关性的损伤及皮肤过敏等，给患者带来极大不便的同时,也使得护理工作的难度增加。PICC置管后皮炎湿疹严重影响了患者的生活质量及增加PICC导管相关性感染等并发症的发生。因此对皮肤过敏的患者做好皮肤护理及导管的维护是非常关键的，及早发现、及早干预有利于减轻患者的痛苦及提高患者的生活质量。本文通过对PICC术后置管部位发生严重皮肤过敏的患者在进行创面护理时采用火针及康复新液无菌纱布湿敷患处的中西医结合护理干预，取得了良好的效果。现汇报结果如下。

Abstract

PICC refers to a cannulation technique that sends the peripheral central venous catheter through the cubital fossa vein to the upper vena cava along the blood vessel. This method can directly inject drugs into the central vein with large blood flow and fast flow rate, which reduces the pain caused by repeated puncture and the damage caused to the blood vessel of patients by long-term use of stimulant drugs. In addition, it can reduce the workload of nursing. It has obvious advantages, but it also has some defects, Such as medical adhesive related injury and skin allergy, which not only brings great inconvenience to patients, but also increases the difficulty of nursing work. Dermatitis and eczema after PICC catheterization seriously affect the quality of life of patients and increase the incidence of PICC catheter-related infection and other complications. Therefore, it is very important to do a good job in skin care and catheter maintenance for patients with skin allergy. Early detection and early intervention will help to reduce the suffering of patients and improve their quality of life. In this paper, we used fire needle and Kangfuxin Liquid sterile gauze to wet compress the affected part of the patients with severe skin allergy after PICC, and achieved good results. The results are reported as follows.