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总结1例肺癌上腔静脉压迫综合征经上肢PICC导管的护理经验。护理要点包括:置管前由呼吸科医生、肿瘤科医生、放诊科医生、血管通道专科护士多学科综合治疗团队会诊,进行风险评估、可行性分析及知情同意告知;由PICC专科护士实施置管,同时密切观察呼吸情况并做好急救准备和动态监测中心静脉压;置管后密切观察生命体征及预防PICC并发症。通过临床多学科综合治疗和护理,完成4周期化疗后拔出PICC导管。
One case of lung cancer with superior vena cava compression syndrome PICC catheter nursing experience. Key points of care include consultation by a multidisciplinary team of respiratory specialists, oncologists, clinicians, and vascular access specialists before risk management, risk assessment, feasibility analysis and informed consent; At the same time, closely observe the respiratory situation and make emergency preparations and dynamic monitoring of central venous pressure; close observation of vital signs and prevention of PICC complications after catheterization. Through the clinical multidisciplinary treatment and care, pull out the PICC catheter after 4 cycles of chemotherapy.