主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (4): 490-495.doi: 10.3969/j.issn.1672-1756.2022.04.003

• 特别策划·静脉治疗管理 • 上一篇    下一篇

心腔内电图定位技术标准化流程在乳腺癌患者手臂输液港植入中的应用

李金花 陈婕君 李星凤 李旭英 袁忠 雷静 肖羽乔 于娣华   

  1. 湖南省肿瘤医院护理部,410013 长沙市(李金花,李旭英);乳腺内科(陈婕君,李星凤,于娣华);血管通道护理中心(袁忠);湖南中医药大学护理学院(雷静,肖羽乔)
  • 出版日期:2022-04-15 发布日期:2022-04-15
  • 通讯作者: 陈婕君,硕士,主管护师,护士长,E-mail:chenjiejun@hnca.org.cn
  • 作者简介:李金花,硕士,主任护师,护理部副主任,硕士生导师
  • 基金资助:
    湖南省卫生健康委科研计划项目(202214054649,202214015040,202214054854)

Standardized procedure of Intracavitary Electrocardiogram positioning method in breast cancer patients with arm port implantation

LI Jinhua, CHEN Jiejun, LI Xingfeng, LI Xuying, YUAN Zhong, LEI Jing, XIAO Yuqiao, YU Dihua   

  1. Nursing Department, Hunan Cancer Hospital, Changsha, 410013, China
  • Online:2022-04-15 Published:2022-04-15
  • Contact: E-mail:chenjiejun@hnca.org.cn

摘要: 目的:对心腔内电图定位技术标准化流程在乳腺癌患者手臂输液港植入中的应用进行总结,为心腔内电图定位技术在手臂输液港植入中的应用提供参考。方法:组建多学科管理团队,制定手臂输液港植入心腔内电图定位技术标准化流程、病情变化应急预案及无特征性P波改变处理流程,并将该流程运用于手臂输液港植入过程中。结果:320例手臂输液港植入患者全部一次置港成功,特征性P波引出率为98.8%,经拍摄X线片定位评价导管尖端位置准确率为96.6%,置港过程中有2例(0.6%)患者出现心悸、心慌等异常症状,经积极处理后均好转。结论:心腔内电图定位技术标准化流程适用于手臂输液港导管尖端定位,可帮助医务人员实时识别并处理置港中的异常情况,提高置港工作效率,保障手臂输液港的安全留置。

关键词: 心腔内电图;标准化流程;手臂输液港;置港;团体标准

Abstract: Objective: To summarize the application of the standardized procedure of intracavitary electrographic positioning technology in the implantation of arm infusion port in breast cancer patients in our hospital. Methods: A multidisciplinary management team was established to formulate the standardized process of electrogram positioning technology, emergency plan for disease change and treatment process without characteristic P wave changes in the implantation of arm infusion port. The standardized process was applied in the implantation of arm infusion port. Results: All 320 patients with arm infusion port implantation were successfully placed in the port at one time. The extraction rate of characteristic P wave was 98.8%, and the accuracy rate of X-ray positioning catheter tip was 96.6%. During the port implantation, 2 patients showed abnormal symptoms including palpitation and palpitations, which were all improved after active treatment. Conclusion: The standardized process of IC-ECG positioning technology is suitable for the positioning of the catheter tip in the arm infusion port, which can help medical staff to identify and deal with abnormal situations in the port in real time. This technology can improve the efficiency of the port placement, and ensure the safe indwelling of the arm infusion port.

Key words: Intracardiac Electrocardiogram; standardized procedure; arm port; port implantation; association standard

中图分类号:  R47