北京市健宫医院 肿瘤科, 北京, 100054
收稿:2026-05-05,
修回:2026-05-18,
录用:2026-06-03,
网络首发:2026-06-25,
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施计美. 1例肿瘤患者PICC相关性静脉血栓中西医护理体会[DB/OL].中西医结合临床案例库, 2026.
SHI Jimei. Nursing Experience of Integrated Traditional Chinese and Western Medicine for PICC-Related Venous Thrombosis in A Tumor Patient: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
施计美. 1例肿瘤患者PICC相关性静脉血栓中西医护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605050001.
SHI Jimei. Nursing Experience of Integrated Traditional Chinese and Western Medicine for PICC-Related Venous Thrombosis in A Tumor Patient: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605050001.
探讨肿瘤患者经外周置入中心静脉导管(PICC)相关性静脉血栓(PICC-RVT)的危险因素、临床特征、诊疗要点及中西医综合护理措施。以1例69岁肠癌PICC置管并发上肢静脉血栓患者为研究对象,回顾病例资料、血栓发生过程、中西医护理干预及转归情况,总结全程护理要点。结果显示,患者经抗凝治疗、患肢专科护理及中药熏洗、穴位干预等中医特色护理后,上肢肿胀疼痛症状消失,血管超声复查提示静脉血流恢复正常,未出现肺栓塞、出血等严重并发症,PICC导管顺利保留并完成后续治疗。
This study aims to investigate the risk factors, clinical characteristics, key points of diagnosis and treatment, and integrated traditional Chinese and Western medicine (TCM-WM) nursing interventions for peripherally inserted central catheter (PICC)-related venous thrombosis (PICC-RVT) in tumor patients. A 69-year-old patient with colorectal cancer who developed upper extremity venous thrombosis following PICC catheterization was enrolled as the study subject. The clinical data, thrombosis onset process, TCM-WM nursing interventions, and clinical outcomes were retrospectively analyzed to summarize the essential nursing measures throughout the entire course of care. The results demonstrated that following anticoagulant therapy, specialized nursing care for the affected limb, and characteristic TCM nursing interventions including herbal fumigation and washing as well as acupoint stimulation, the symptoms of upper limb swelling and pain were completely alleviated. Vascular ultrasonography re-examination revealed the restoration of normal venous blood flow, with no occurrence of serious complications such as pulmonary embolism or hemorrhage. The PICC catheter was successfully preserved, enabling the patient to complete the subsequent treatment course.
中国医师协会介入医师分会介入围手术专家工作组 , 中国静脉介入联盟 , 李燕 . 下肢深静脉血栓形成介入治疗护理实践指南 [J]. 介入放射学杂志 , 2025 , 34 ( 1 ): 5 - 17 .
Chinese Medical Doctor Association, Interventional Medicine Branch, Expert Working Group on Perioperative Intervention; Chinese Venous Intervention Alliance, Li Y . Guidelines for nursing practice in interventional treatment of lower extremity deep venous thrombosis [J]. J Interv Radiol , 2025 , 34 ( 1 ): 5 - 17 . (in Chinese)
Gorski L A , Hadaway L , Hagle M E , et al . Infusion therapy standards of practice, 8th edition [J]. J Infus Nurs , 2021 , 44 ( 1S ): S1 - S224 .
邓哲 , 陈鑫 , 罗婉嘉 , 等 . 创伤性脑损伤患者发生经外周静脉置入中心静脉导管相关性上肢深静脉血栓预测模型的构建与验证 [J]. 中华创伤杂志 , 2024 , 40 ( 6 ): 498 - 505 .
Deng Z , Chen X , Luo W J , et al . Construction and validation of the prediction model for peripherally inserted central catheter-related upper extremity deep vein thrombosis in patients with traumatic brain injury [J]. Chin J Trauma , 2024 , 40 ( 6 ): 498 - 505 . (in Chinese)
Hu Z Y , Luo M N , He R Y , et al . Development and validation of a risk prediction model for PICC-related venous thrombosis in patients with cancer: a prospective cohort study [J]. Sci. Rep. , 2025 , 15 : 4654 .
李红红 , 于娜 , 史鸣昊 , 等 . 新血栓风险评估模型对恶性肿瘤患者静脉血栓形成的预测价值 [J]. 吉林大学学报(医学版) , 2024 , 50 ( 5 ): 1390 - 1399 .
Li H H , Yu N , Shi M H , et al . Predictive value of new thrombotic risk assessment model for venous thromboembolism in patients with malignant tumors [J]. J Jilin Univ Med Ed , 2024 , 50 ( 5 ): 1390 - 1399 . (in Chinese)
中国老年保健医学研究会血栓防治分会 , 司全金 , 王海军 , 等 . 高龄卧床高危静脉血栓栓塞症防治中国专家共识 [J]. 中华老年心脑血管病杂志 , 2024 , 26 ( 12 ): 1381 - 1389 .
Thrombosis Prevention and Control Branch, Chinese Society of Geriatric Health Medicine, Si Q J, Wang H J, et al . Chinese expert consensus on prevention and treatment of high-risk venous thromboembolism in very old bedridden patients [J]. Chin J Geriatr Heart Brain Vessel Dis , 2024 , 26 ( 12 ): 1381 - 1389 . (in Chinese)
杨灵琪 , 方小芳 , 刘欣 , 等 . PICC置管患者出院准备度量表的编制与信效度检验 [J]. 中华护理杂志 , 2025 , 60 ( 3 ): 325 - 331 .
Yang L Q , Fang X F , Liu X , et al . Development and reliability and validity test of a Discharge Readiness Scale for Patients with PICC [J]. Chin J Nurs , 2025 , 60 ( 3 ): 325 - 331 . (in Chinese)
Peterson A , Brown K , Lee M . Nursing care for patients receiving low molecular weight heparin for PICC-related venous thrombosis [J]. Clin J Oncol Nurs , 2023 , 27 ( 5 ): 689 - 698 .
陈润清 , 李晓燕 . 适宜中医护理技术结合快速康复外科技术促进妇科手术后康复的效果观察 [J]. 山西医药杂志 , 2016 , 45 ( 24 ): 2946 - 2948 .
Chen R Q , Li X Y . Observation of the Effect of Integrating Traditional Chinese Medicine Nursing Techniques with Enhanced Recovery After Surgery on Postoperative Rehabilitation in Gynecological Surgery [J]. Shanxi Med J , 2016 , 45 ( 24 ): 2946 - 2948 . (in Chinese)
王卉 , 龙小丽 , 曹佳 . 经皮穴位电刺激联合上肢功能锻炼预防肿瘤病人PICC导管相关性血栓的疗效评价 [J]. 护理研究 , 2023 , 37 ( 2 ): 359 - 362 .
Wang H , Long X L , Cao J . Evaluation of therapeutic effect of transcutaneous electrical acupoint stimulation combined with upper limb functional exercise on prevention of PICC catheter? related thrombosis in tumor patients [J]. Chin Nurs Res , 2023 , 37 ( 2 ): 359 - 362 . (in Chinese)
王明华 , 牛芳芳 . 耳穴按揉护理干预在超声引导下PICC置管患者疼痛中的应用 [J]. 中华现代护理杂志 , 2017 , 23 ( 33 ): 4271 - 4274 .
Wang M H , Niu F F . Effects of nursing intervention of auricular point kneading on pain of patients catheterized through ultrasound-guided PICC [J]. Chin J Mod Nurs , 2017 , 23 ( 33 ): 4271 - 4274 . (in Chinese)
李景秋 , 李丹 , 李立兵 . 循经穴位艾灸在留置PICC肿瘤化疗患者中的应用 [J]. 国际护理学杂志 , 2023 , 42 ( 21 ): 3915 - 3919 .
Li J Q , Li D , Li L B . Application of meridian acupoint moxibustion in patients with indwelling PICC tumor chemotherapy [J]. Int J Nurs , 2023 , 42 ( 21 ): 3915 - 3919 . (in Chinese)
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