Nursing of a lung cancer patient with eczema with phlebitis after PICC catheterization

Yaqiong GUO; Dongman BAN; Mingli ZHOU

doi:10.12209/CAIM202310110023

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Nursing of a lung cancer patient with eczema with phlebitis after PICC catheterization

更新时间：2023-12-04

- Nursing of a lung cancer patient with eczema with phlebitis after PICC catheterization
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  河南省中医院肿瘤科，河南郑州 450053
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202310110023
  CLC：
- Published Online：04 December 2023，
  
  Received：11 October 2023，
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Yaqiong GUO, Dongman BAN, Mingli ZHOU. Nursing of a lung cancer patient with eczema with phlebitis after PICC catheterization. [DB/OL].Clinical Archives of Integrative Medicine (2023)
DOI：

Yaqiong GUO, Dongman BAN, Mingli ZHOU. Nursing of a lung cancer patient with eczema with phlebitis after PICC catheterization. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI： 10.12209/CAIM202310110023.

摘要

本文总结1例伴有湿疹的肺癌患者PICC置管后静脉炎的护理经验。本例患者在PICC置管后第5天右侧上肢置管处出现红肿，触之胀痛，我院利用中西医结合、多学科联合诊疗优势，迅速作出应对措施，西医予常规消炎药物，中医予中药膏摹（如意金黄散）治疗，最终患者感染消除、右侧上肢皮肤湿疹较前缓解，患者完成周期性化疗。分析该患者发生皮肤红肿胀痛的原因可能与医护、患者自身均相关，提示PICC置管前应充分评估患者自身条件，术后医护的密切观察与配合对PICC导管安全且长期的应用至关重要。

Abstract

This article summarized the nursing experience of a lung cancer patient with eczema and phlebitis after PICC catheterization. In this case， the patient developed swelling and pain at the right upper limb catheter 5 days after PICC catheterization. Our hospital took the advantages of integrated traditional Chinese and western medicine and multidisciplinary diagnosis and treatment， and made rapid response measures. Conventional anti-inflammatory drugs were given in western medicine， and Chinese medicine ointment G （Ruyi Jinhuang powder） was given. The causes of skin redness and swelling and pain in this patient may be related to both doctors， nurses and patients themselves， suggesting that the patient's own conditions should be fully evaluated before PICC catheterization， and the close observation and cooperation of doctors and nurses after PICC catheterization are very important for the safe and long-term application of PICC catheter.

关键词

PICC静脉炎湿疹护理

Keywords

PICCphlebitiseczemanursing care

references

GAMULKA B， MENDOZA C， CONNOLLY B. Evaluation of a unique， nurse-inserted， peripherally inserted central catheter program［J］. Pediatrics， 2005， 115（6）： 1602-1606.

安帆，田亚林. 一例PICC穿刺后前臂肿胀的原因分析及护理［J］. 实用临床护理学电子杂志， 2016， 1（2）： 71， 74.

AN F， TIAN Y L. Cause analysis and nursing of forearm swelling after PICC puncture in one case ［J］. J Clin Nursing’s Pract， 2016， 1（2）： 71， 74.（in Chinese）

杜娟，马云，赵育刚，等. 何氏解毒消炎散外敷治疗输液性静脉炎的临床疗效观察［J］. 成都医学院学报， 2020， 15（4）： 464-467.

DU J， MA Y， ZHAO Y G， et al. The observation of clinical effect of Ho’s Jiedu Xiaoyan Powder applied externally in the treatment of infusion phlebitis［J］. J Chengdu Med Coll， 2020， 15（4）： 464-467.（in Chinese）

陈玉红，简黎，张农惠，等. PICC置管术后并发机械性静脉炎的多因素分析及其护理对策［J］. 当代护士（中旬刊）， 2023， 30（1）： 102-106.

CHEN Y H， JIAN L， ZHANG N H， et al. Multivariate analysis of mechanical phlebitis complicating PICC catheterization and its nursing countermeasures［J］. Mod Nurse， 2023， 30（1）： 102-106.（in Chinese）

杨丽娟，刘丽华，伏蕤，等. PICC置入病人并发机械性静脉炎列线图预测模型的构建［J］. 护理研究， 2021， 35（10）： 1746-1750.

YANG L J， LIU L H， FU R， et al. Construction of nomogram prediction model for patients with PICC placement complicated with mechanical phlebitis［J］. Chin Nurs Res， 2021， 35（10）： 1746-1750.（in Chinese）

赵军凤，钱林学，张宏，等. 基于血管壁回声跟踪技术的血管内皮舒张功能技术检测长期吸烟者血管内皮功能［J］. 中华临床医师杂志（电子版）， 2013， 7（4）： 1795-1797.

ZHAO J F， QIAN L X， ZHANG H， et al. To evaluate vascular endothelial function in long-term smokers using echo-tracking technique ［J］. Chin J Clin Electron Ed， 2013， 7（4）： 1795-1797.（in Chinese）

李莎莎. 一例PICC患者发生湿疹及感染的原因分析和护理［J］. 实用临床护理学电子杂志， 2019， 4（11）： 78-79.

LI S S. Cause analysis and nursing of a PICC patient with eczema and infection ［J］. J Clin Nursing’s Pract， 2019， 4（11）： 78-79.（in Chinese）

白萍，魏永婷，孙智超，等. 肿瘤手术病人外周静脉输液性静脉炎发生风险预测模型的构建［J］. 护理研究， 2023， 37（11）： 1914-1920.

BAI P， WEI Y T， SUN Z C， et al. Construction of the risk prediction model for infusion phlebitis of peripheral vein in patients undergoing tumor surgery［J］. Chin Nurs Res， 2023， 37（11）： 1914-1920.（in Chinese）

杨璐，张晓璐，郑莹莹，等. 如意金黄散外敷治疗静脉输液患者药物外渗疗效的Meta分析［J］. 湖南中医杂志， 2020， 36（6）： 125-128.

YANG L， ZHANG X L， ZHENG Y Y， et al. Meta-analysis of the effect of Ruyi Jinhuang powder on drug extravasation in patients with intravenous infusion ［J］. Hunan J Tradit Chin Med， 2020， 36（6）： 125-128.（in Chinese）

张斯琪，曾臣红，陈冲，等. 如意金黄散的现代研究进展［J］. 中成药， 2018， 40（2）： 411-415.

ZHANG S Q， ZENG C H， CHEN C， et al. Modern research progress of Ruyi Jinhuang powder ［J］. Chin Tradit Pat Med， 2018， 40（2）： 411-415.（in Chinese）

鞠晓青，刘美丽，姚贝贝. 改良如意金黄散外敷预防性干预在静脉留置针输注红霉素患儿中的应用效果［J］. 中国民间疗法， 2022， 30（2）： 66-67.

JU X Q， LIU M L， YAO B B. Preventive intervention effect of modified Ruyi Jinhuang Powder on children with erythromycin infusion through intravenous indwelling needle［J］. China’s Naturopathy， 2022， 30（2）： 66-67.（in Chinese）

赵天阳. 早期预见性护理干预对肿瘤患者PICC术后机械性静脉炎的影响［J］. 中国医药指南， 2021， 19（21）： 173-174.

ZHAO T Y. Effect of early predictive nursing intervention on mechanical phlebitis after PICC in patients with cancer［J］. Guide China Med， 2021， 19（21）： 173-174.（in Chinese）

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