\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u89c4\u8303<\/p>\n
\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6<\/p>\n
\u4e2d\u534e\u533b\u5b66\u4f1a\u5f71\u50cf\u6280\u672f\u5206\u4f1a\u533b\u5b66\u5f71\u50cf\u62a4\u7406\u4e13\u59d4\u4f1a<\/p>\n
\u5f15\u8a00 <\/p>\n
1<\/p>\n
\u9002\u7528\u8303\u56f4 <\/p>\n
\u6ce8\u5c04\u5bf9\u6bd4\u5242\u540e\u53ef\u589e\u52a0\u75c5\u7076\u4e0e\u6b63\u5e38\u7ec4\u7ec7\u7684\u5bf9\u6bd4\u5ea6\uff0cCT\/MRI \u589e\u5f3a\u68c0\u67e5\u7b49\u5747\u53ef\u63d0\u9ad8\u5bf9\u75c5\u7076\u7684\u68c0\u51fa\u548c\u5b9a\u6027\u80fd\u529b\uff0c\u800c\u901a\u8fc7\u6ce8\u5c04\u5bf9\u6bd4\u5242\u5b9e\u73b0\u5fc3\u8840\u7ba1\u6210\u50cf\u3001\u8111\u8840\u7ba1\u6210\u50cf\u3001\u52a8\u8109\u6210\u50cf\u3001\u9759\u8109\u6210\u50cf\u5219\u53ef\u8bca\u65ad\u548c\u663e\u793a\u8840\u7ba1\u6027\u75c5\u53d8[7]\u3002\u56e0\u6b64\uff0c\u5f53\u9700\u8981\u901a\u8fc7\u9759\u8109\u8f93\u6ce8\u5bf9\u6bd4\u5242\u884c\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u65f6\uff0c\u53ef\u53c2\u8003\u672c\u5171\u8bc6\u9009\u62e9\u5408\u9002\u7684\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u3002<\/p>\n
2<\/p>\n
\u672f\u8bed\u4e0e\u5b9a\u4e49 <\/p>\n
2.1 \u5bf9\u6bd4\u5242<\/p>\n
\u5bf9\u6bd4\u5242\u662f\u6307\u4ee5\u533b\u5b66\u6210\u50cf\u4e3a\u76ee\u7684\uff0c\u88ab\u5f15\u5165\u4eba\u4f53\u540e\u80fd\u6539\u53d8\u673a\u4f53\u5c40\u90e8\u7ec4\u7ec7\u5bf9\u6bd4\u5ea6\u7684\u4e00\u79cd\u5316\u5b66\u7269\u8d28\u3002<\/p>\n
2.2 \u9ad8\u538b\u6ce8\u5c04<\/p>\n
\u5728\u4e00\u5b9a\u65f6\u95f4\u5185\uff0c\u5229\u7528\u9ad8\u538b\u6ce8\u5c04\u5668\uff0c\u901a\u8fc7\u7ecf\u76ae\u7a7f\u523a\u8fdb\u5165\u8840\u7ba1\u6216\u7ecf\u4eba\u4f53\u539f\u6709\u5b54\u9053\uff0c\u5c06\u9002\u91cf\u7684\u5bf9\u6bd4\u5242\u5feb\u901f\u3001\u51c6\u786e\u5730\u6ce8\u5c04\u5230\u68c0\u67e5\u90e8\u4f4d\u7684\u4e00\u79cd\u6ce8\u5c04\u65b9\u5f0f\u3002<\/p>\n
2.3 \u9759\u8109\u56e2\u6ce8<\/p>\n
\u5b9e\u65bd\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u65f6\u5e38\u7528\u7684\u4e00\u79cd\u5bf9\u6bd4\u5242\u6ce8\u5c04\u65b9\u5f0f\uff0c\u4f7f\u7528\u9ad8\u538b\u6ce8\u5c04\u5668\u5feb\u901f\u5730\u5c06\u5bf9\u6bd4\u5242\u4ee5\u201c\u56e2\u5757\u201d\u7684\u5f62\u5f0f\u6ce8\u5165\u9759\u8109\u4e2d\uff0c\u4ee5\u4fbf\u5f62\u6210\u6709\u8840\u6d41\u52a8\u529b\u5b66\u7279\u5f81\u7684\u589e\u5f3a\u9020\u5f71\u6548\u679c\u3002<\/p>\n
2.4 \u5916\u5468\u9759\u8109\u5bfc\u7ba1<\/p>\n
\u5916\u5468\u9759\u8109\u5bfc\u7ba1\uff08Peripheral Venous Catheter\uff0cPVC\uff09\u5305\u62ec\u4e00\u6b21\u6027\u8f93\u6db2\u94a2\u9488\u548c\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u3002<\/p>\n
2.5 \u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1<\/p>\n
\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\uff08Central Venous Catheter\uff0cCVC\uff09\u662f\u6307\u7ecf\u9501\u9aa8\u4e0b\u9759\u8109\u3001\u9888\u5185\u9759\u8109\u3001\u80a1\u9759\u8109\u7f6e\u7ba1\uff0c\u5c16\u7aef\u4f4d\u4e8e\u4e0a\u8154\u9759\u8109\u6216\u4e0b\u8154\u9759\u8109\u7684\u5bfc\u7ba1\u3002<\/p>\n
2.6 \u7ecf\u5916\u5468\u9759\u8109\u7f6e\u5165\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1<\/p>\n
\u7ecf\u5916\u5468\u9759\u8109\u7f6e\u5165\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\uff08Peripherally Inserted Central Catheter\uff0cPICC\uff09\u662f\u6307\u7ecf\u4e0a\u80a2\u8d35\u8981\u9759\u8109\u3001\u8098\u6b63\u4e2d\u9759\u8109\u3001\u5934\u9759\u8109\u3001\u80b1\u9759\u8109\uff0c\u9888\u5916\u9759\u8109\uff08\u65b0\u751f\u513f\u8fd8\u53ef\u901a\u8fc7\u4e0b\u80a2\u5927\u9690\u9759\u8109\u3001\u5934\u90e8\u989e\u9759\u8109\u3001\u8033\u540e\u9759\u8109\u7b49\uff09\u7a7f\u523a\u7f6e\u7ba1\uff0c\u5bfc\u7ba1\u5c16\u7aef\u4f4d\u4e8e\u4e0a\u8154\u9759\u8109\u6216\u4e0b\u8154\u9759\u8109\u7684\u5bfc\u7ba1\u3002<\/p>\n
2.7 \u5b8c\u5168\u690d\u5165\u5f0f\u9759\u8109\u8f93\u6db2\u6e2f<\/p>\n
\u5b8c\u5168\u690d\u5165\u5f0f\u9759\u8109\u8f93\u6db2\u6e2f\uff08Totally Implantable Venous Access Port\uff0cTIVAP\uff09\u53c8\u79f0\u690d\u5165\u5f0f\u9759\u8109\u7ed9\u836f\u88c5\u7f6e\uff0c\u662f\u4e00\u79cd\u5b8c\u5168\u690d\u5165\u4eba\u4f53\u5185\u7684\u95ed\u5408\u8f93\u6db2\u88c5\u7f6e\uff0c\u4e3b\u8981\u5305\u62ec\u4f4d\u4e8e\u4e2d\u5fc3\u9759\u8109\u7684\u5bfc\u7ba1\u90e8\u5206\u53ca\u57cb\u690d\u4e8e\u76ae\u4e0b\u7684\u8f93\u6db2\u5ea7\u3002\u662f\u901a\u8fc7\u624b\u672f\u7684\u65b9\u6cd5\u5c06\u8f93\u6db2\u6e2f\u57cb\u7f6e\u5728\u80f8\u524d\u6216\u8179\u58c1\u76ae\u4e0b\uff0c\u8f93\u6db2\u6216\u6ce8\u5c04\u65f6\u91c7\u7528\u65e0\u635f\u4f24\u9488\u8fdb\u884c\u7a7f\u523a\uff0c\u6839\u636e\u7528\u9014\u3001\u836f\u7269\u6027\u8d28\u3001\u60a3\u8005\u4f53\u578b\u53ca\u8f93\u6db2\u6e2f\u57cb\u7f6e\u6df1\u5ea6\u9009\u62e9\u5408\u9002\u7684\u65e0\u635f\u4f24\u9488\u3002<\/p>\n
2.8 \u8109\u51b2\u5f0f\u51b2\u7ba1<\/p>\n
\u91c7\u7528\u63a8\u4e00\u4e0b\u505c\u4e00\u4e0b\u7684\u51b2\u6d17\u65b9\u6cd5\uff0c\u4f7f\u51b2\u7ba1\u6db2\u5728\u5bfc\u7ba1\u8154\u5185\u4ea7\u751f\u6b63\u3001\u8d1f\u538b\u5f62\u6210\u6da1\u6d41\uff0c\u589e\u52a0\u5bf9\u5bfc\u7ba1\u58c1\u5168\u9762\u5747\u5300\u7684\u51b2\u6d17\uff0c\u53ef\u6709\u529b\u5730\u5c06\u9644\u7740\u5728\u5bfc\u7ba1\u58c1\u4e0a\u7684\u6b8b\u7559\u836f\u7269\u51b2\u6d17\u5e72\u51c0\uff0c\u66f4\u6709\u6548\u5730\u51cf\u5c11\u5835\u585e\u7684\u53d1\u751f[8]\u3002<\/p>\n
2.9 \u6b63\u538b\u5c01\u7ba1<\/p>\n
\u5c01\u7ba1\u65f6\u91c7\u7528\u8fb9\u63a8\u5c01\u7ba1\u6db2\u8fb9\u9000\u9488\u7684\u65b9\u6cd5\uff0c\u5c01\u7ba1\u6db2\u63a8\u6ce8\u901f\u5ea6\u5b9c\u6162\uff0c\u4ee5\u51cf\u5c11\u5bf9\u8840\u7ba1\u58c1\u7684\u51b2\u51fb\u529b\uff0c\u8ba9\u5c01\u7ba1\u6db2\u5145\u6ee1\u6574\u4e2a\u7ba1\u8154\uff0c\u4f7f\u5957\u7ba1\u5185\u4fdd\u6301\u6b63\u538b\uff0c\u5728\u63a8\u6ce8\u5c01\u7ba1\u6db2\u7684\u540c\u65f6\u9700\u5173\u95ed\u5c0f\u5f00\u5173\uff0c\u518d\u62d4\u51fa\u9488\u5934\uff0c\u53ef\u786e\u4fdd\u5c0f\u5f00\u5173\u81f3\u9488\u5c16\u90e8\u7ef4\u6301\u6b63\u538b\uff0c\u5373\u53cc\u91cd\u6b63\u538b\u5c01\u7ba1[8]\u3002<\/p>\n
3<\/p>\n
\u5f71\u50cf\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u7c7b\u578b\u53ca\u63a8\u8350\u610f\u89c1 <\/p>\n
\u53ef\u7528\u4e8e\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u7684\u8f93\u6ce8\u5de5\u5177\u79cd\u7c7b\u7e41\u591a\uff0c\u5305\u62ec PVC\u3001CVC\u3001PICC\u3001TIVAP \u7b49\uff0c\u5176\u4e2d PVC \u6700\u5e38\u7528\uff0cCVC\u3001PICC \u548c TIVAP \u5c5e\u4e8e\u4e2d\u5fc3\u7c7b\u9759\u8109\u7f6e\u7ba1\uff0c\u5efa\u8bae\u4f5c\u4e3a\u60a3\u8005\u5916\u5468\u8840\u7ba1\u6761\u4ef6\u5dee\u6216\u75c5\u60c5\u5371\u91cd\u65f6\u7684\u5907\u9009\u901a\u9053\u3002PVC \u5305\u62ec\u4e00\u6b21\u6027\u8f93\u6db2\u94a2\u9488\u548c\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u3002\u7531\u4e8e\u4e00\u6b21\u6027\u5934\u76ae\u9759\u8109\u94a2\u9488\u9488\u5934\u5c16\u9510\u3001\u88f8\u9732\u65e0\u4efb\u4f55\u4fdd\u62a4\uff0c\u6613\u5bfc\u81f4\u9488\u523a\u4f24\u548c\u5bf9\u6bd4\u5242\u5916\u6e17[9]\u3002\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u5177\u6709\u826f\u597d\u7684\u67d4\u97e7\u6027\u53ca\u72ec\u7279\u7684\u5f39\u6027\u529f\u80fd\uff0c\u4e0e\u8840\u7ba1\u9002\u5e94\u6027\u597d\uff0c\u5bb9\u6613\u56fa\u5b9a\uff0c\u9ad8\u538b\u6ce8\u5c04\u4e0b\u53ef\u4ee5\u51cf\u5c11\u5bf9\u6bd4\u5242\u5916\u6e17\u7684\u53d1\u751f\uff0c\u5e76\u4e14\u4fbf\u4e8e\u62a2\u6551\u65f6\u7ecf\u9759\u8109\u7ed9\u836f\u3002\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u63a8\u8350\u4f7f\u7528\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488 [10]\uff0c\u4e0d\u5e94\u4f7f\u7528\u4e00\u6b21\u6027\u94a2\u9488[11]\u3002\u4f46\u7559\u7f6e\u65f6\u95f4\u8d85\u8fc724 h \u7684\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\uff0c\u56e0\u5404\u79cd\u836f\u7269\u523a\u6fc0\u3001\u7559\u7f6e\u65f6\u95f4\u957f\u7b49\u539f\u56e0\uff0c\u5b58\u5728\u9759\u8109\u708e\u53d1\u751f\u7684\u98ce\u9669\uff0c\u518d\u8fdb\u884c\u9ad8\u538b\u6ce8\u5c04\u65f6\u6613\u53d1\u751f\u8840\u7ba1\u7834\u88c2\u5bfc\u81f4\u5916\u6e17\uff0c\u5e94\u5c3d\u91cf\u907f\u514d\u4f7f\u7528 [12]\u3002\u4ee5\u4e0b\u5185\u5bb9\u5c06\u8be6\u7ec6\u4ecb\u7ecd\u5f71\u50cf\u589e\u5f3a\u5e38\u7528\u7684\u51e0\u79cd\u8f93\u6ce8\u5de5\u5177\uff08\u56fe 1\uff09\u3002<\/p>\n<\/p>\n
\u56fe1 \u5f71\u50cf\u9ad8\u538b\u6ce8\u5c04\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u63a8\u8350<\/p>\n
3.1 \u5916\u5468\u9759\u8109\u7559\u7f6e\u9488<\/p>\n
\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u662f\u6700\u5e38\u7528\u7684\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u7a7f\u523a\u5de5\u5177\uff0c\u6839\u636e\u5916\u5f62\u3001\u6027\u80fd\u3001\u6750\u8d28\u7b49\u5206\u4e3a\u4e0d\u540c\u7c7b\u578b\u3002<\/p>\n
\uff081\uff09\u6839\u636e\u5916\u5f62\u5206\u4e3aI \u578b\u548cY \u578b\u3002I \u578b\u7559\u7f6e\u9488\u65e0\u989d\u5916\u7684\u8fde\u63a5\u53e3\uff0c\u907f\u514d\u7a7a\u6c14\u6b8b\u7559\uff0c\u4e14\u6ca1\u6709\u5e3d\u7aef\u4fa7\u6f0f\u7684\u98ce\u9669\uff1bY \u578b\u7559\u7f6e\u9488\u6298\u53e0\u7834\u88c2\u3001\u7aef\u5e3d\u4fa7\u6f0f\u7684\u53d1\u751f\u7387\u660e\u663e\u9ad8\u4e8eI \u578b\u7559\u7f6e\u9488 [1]\uff0c\u4e14\u6709\u53d1\u751f\u9759\u8109\u7a7a\u6c14\u6813\u585e\u7684\u53ef\u80fd[13]\uff1b\u56e0\u6b64\u63a8\u8350\u9009\u7528 I \u578b\u7559\u7f6e\u9488\u3002<\/p>\n
\uff082\uff09\u6839\u636e\u6027\u80fd\u5206\u4e3a\u5b89\u5168\u578b\u548c\u975e\u5b89\u5168\u578b\u3002\u4e3a\u4e86\u6700\u5927\u53ef\u80fd\u907f\u514d\u9488\u523a\u4f24\u7684\u53d1\u751f\uff0c\u51cf\u5c11\u62a4\u58eb\u56e0\u9488\u523a\u4f24\u5f15\u53d1\u7684\u83b7\u5f97\u6027\u804c\u4e1a\u611f\u67d3\u7684\u53d1\u751f\u7387[14]\uff0c\u63a8\u8350\u9009\u62e9\u5b89\u5168\u578b\u7559\u7f6e\u9488\u3002\u5e38\u89c1\u7684\u5b89\u5168\u578b\u7559\u7f6e\u9488\u6709\u9020\u5f71\u5bfc\u7ba1\u7559\u7f6e\u9488\uff08\u9632\u9488\u523a\u578b\uff09\u3001\u666e\u901a\u578b\u5b89\u5168\u578b\u9759\u8109\u7559\u7f6e\u9488\u3002<\/p>\n
\uff083\uff09\u6839\u636e\u6750\u8d28\u5206\u4e3a\u666e\u901a\u578b\u548c\u8010\u9ad8\u538b\u578b\u3002\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4e3a\u4e86\u4fdd\u8bc1\u56fe\u50cf\u8d28\u91cf\uff0c\u5e38\u91c7\u7528\u9ad8\u538b\u6ce8\u5c04\u5668\u6ce8\u5c04\u65b9\u5f0f\uff0c\u5b9e\u73b0\u5bf9\u6bd4\u5242\u9759\u8109\u56e2\u6ce8[6]\u3002\u90e8\u5206\u533b\u9662\u5c06\u666e\u901a\u578b\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u5e94\u7528\u4e8e\u5f71\u50cf\u589e\u5f3a\u9ad8\u538b\u6ce8\u5c04\uff0c\u5076\u6709\u53d1\u751f\u8f6f\u7ba1\u65ad\u88c2\u5e76\u6b8b\u7559\u5728\u8840\u7ba1\u5185\u6216\u5ef6\u957f\u7ba1\u65ad\u88c2\u7b49\u6848\u4f8b[15]\u3002\u8010\u9ad8\u538b\u578b\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u5982\u9020\u5f71\u5bfc\u7ba1\u7559\u7f6e\u9488\u8f83\u67d4\u8f6f\uff0c\u968f\u8840\u7ba1\u8d70\u5411\u53d8\u5316\u800c\u53d8\u5316\uff0c\u7ba1\u53e3\u5706\u6ed1\uff0c\u53ef\u6709\u6548\u9884\u9632\u4e0e\u51cf\u5c11\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u65f6\u5bf9\u6bd4\u5242\u5916\u6e17\u3001\u7559\u7f6e\u9488\u8f6f\u7ba1\u65ad\u88c2\u7b49\u4e0d\u826f\u4e8b\u4ef6\u7684\u53d1\u751f[16]\uff1b\u8010\u9ad8\u538b\u578b\u7559\u7f6e\u9488\u5bfc\u7ba1\u53ca\u7ec4\u4ef6\u5747\u53ef\u627f\u53d7 300 psi \u7684\u538b\u529b\uff0c\u80fd\u66f4\u597d\u5730\u6ee1\u8db3\u9ad8\u538b\u6ce8\u5c04\u7684\u9700\u6c42\u3002\u7efc\u4e0a\u6240\u8ff0\uff0c\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u8f93\u6ce8\u5de5\u5177\u63a8\u8350\u4f7f\u7528\u4e13\u7528\u4e8e\u8f93\u6ce8\u5bf9\u6bd4\u5242\u7684\u3001I \u578b\u5b89\u5168\u578b\u8010\u9ad8\u538b\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\uff0c\u5982\u9020\u5f71\u5bfc\u7ba1\u7559\u7f6e\u9488\u3002<\/p>\n
3.2 CVC<\/p>\n
CVC \u5e38\u7528\u4e8e\u9700\u8981\u957f\u671f\u8f93\u6db2\u6cbb\u7597\u3001\u5916\u5468\u8840\u7ba1\u6761\u4ef6\u5dee\u3001\u5feb\u901f\u8865\u6db2\u6216\u8f93\u8840\u3001\u7279\u6b8a\u836f\u7269\u6cbb\u7597\u7684\u60a3\u8005\u7b49 [17]\uff0c\u5176\u4e2d\u8010\u9ad8\u538b\u5bfc\u7ba1\u53ef\u5e94\u7528\u4e8e\u9ad8\u538b\u6ce8\u5c04\u5bf9\u6bd4\u5242 [18]\u3002\u5927\u90e8\u5206 CVC \u8bf4\u660e\u4e66\u90fd\u660e\u786e\u6307\u51fa\u4e86\u5176\u8010\u538b\u8303\u56f4\uff0c\u4f7f\u7528\u524d\u5e94\u4ed4\u7ec6\u6838\u5bf9\uff0c\u8fd9\u4e3b\u8981\u662f\u56e0\u4e3a\u9ad8\u538b\u6ce8\u5c04\u65f6\u6709\u53d1\u751f\u7ba1\u8def\u7834\u88c2\u3001\u5bfc\u7ba1\u79fb\u4f4d\u3001\u5bf9\u6bd4\u5242\u5916\u6e17\u3001\u7ba1\u8def\u969c\u788d\u548c\u8840\u6813\u7b49\u98ce\u9669 [19]\uff0c\u56e0\u6b64\uff0c\u5bf9\u4e8e\u9700\u8981\u9ad8\u538b\u6ce8\u5c04\u5bf9\u6bd4\u5242\u7684\u68c0\u67e5\uff0c\u9700\u8c28\u614e\u9009\u62e9\u3002\u5728\u9009\u62e9\u8010\u9ad8\u538bCVC \u8fdb\u884c\u5bf9\u6bd4\u5242\u6ce8\u5c04\u65f6\uff0c\u9700\u4e25\u683c\u9075\u5b88\u5b89\u5168\u64cd\u4f5c\u6807\u51c6\u3002<\/p>\n
3.3 PICC<\/p>\n
PICC \u5bfc\u7ba1\u6750\u8d28\u4e3b\u8981\u6709\u7845\u80f6\u7c7b\u548c\u805a\u6c28\u916f\u7c7b\uff0c\u5176\u4e2d\uff0c\u5f3a\u5316\u805a\u6c28\u916f\u6750\u8d28\u7684 PICC \u5bfc\u7ba1\u53ef\u7528\u4e8e\u9ad8\u538b\u6ce8\u5c04\u5bf9\u6bd4\u5242\uff0c\u6709\u660e\u663e\u7684\u8010\u9ad8\u538b\u6807\u8bc6\uff0c\u8010\u9ad8\u538b PICC \u5728\u5f71\u50cf\u68c0\u67e5\u4e2d\u5e94\u7528\u5e7f\u6cdb\u3001\u6280\u672f\u6210\u719f\uff0c\u53ef\u907f\u514d\u60a3\u8005\u53cd\u590d\u7a7f\u523a\u7684\u75db\u82e6\uff0c\u540c\u65f6\u8fbe\u5230\u4e00\u6b21\u7a7f\u523a\u5373\u53ef\u6ee1\u8db3\u6cbb\u7597\u548c\u591a\u6b21\u5f71\u50cf\u68c0\u67e5\u7684\u9700\u6c42 [20]\u3002\u5bfc\u7ba1\u79fb\u4f4d\u662f PICC \u9ad8\u538b\u6ce8\u5c04\u6700\u5e38\u89c1\u7684\u98ce\u9669\uff0c\u53d1\u751f\u7387 8%~15%[21]\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u5bfc\u7ba1\u79fb\u4f4d\u540e\u6709\u81ea\u6211\u7ea0\u6b63\u7684\u53ef\u80fd\uff0c\u5c24\u5176\u662f\u5728\u9ad8\u538b\u6ce8\u5c04\u5bf9\u6bd4\u5242\u540e 24 h \u5185\uff0c\u56e0\u6b64\uff0c\u5e94\u505a\u597d\u4e0e\u4e34\u5e8a\u533b\u52a1\u4eba\u5458\u548c\u60a3\u8005\u7684\u6c9f\u901a\uff0c\u82e5\u975e\u7d27\u6025\u60c5\u51b5\u4e0b\uff0c\u53ef\u9009\u62e9\u5176\u4ed6\u8840\u7ba1\u901a\u8def\u4e34\u65f6\u66ff\u4ee3\u6cbb\u7597\uff0c\u5e76\u4e14\u5728 24 h \u540e\u8fdb\u884c X \u7ebf\u7167\u5c04\uff0c\u786e\u8ba4\u662f\u5426\u80fd\u591f\u81ea\u6211\u7ea0\u6b63\uff0c\u81ea\u6211\u7ea0\u6b63\u524d\u4e0d\u53ef\u4f7f\u7528 PICC\u3002PICC \u5bfc\u7ba1\u4e5f\u5b58\u5728\u4f7f\u7528\u548c\u7ef4\u62a4\u6210\u672c\u9ad8\uff0c\u957f\u65f6\u95f4\u7f6e\u7ba1\u540e\u5bfc\u7ba1\u5c16\u7aef\u7ea4\u7ef4\u86cb\u767d\u9798\u8131\u843d\u7b49\u5b9e\u9645\u5e94\u7528\u7684\u95ee\u9898\u9650\u5236\u4e86\u5176\u5e7f\u6cdb\u5e94\u7528 [22]\u3002<\/p>\n
3.4 TIVAP<\/p>\n
TIVAP \u5e94\u5177\u5907\u8010\u9ad8\u538b\u6750\u8d28\u3002\u91c7\u7528 TIVAP \u8fdb\u884c\u9ad8\u538b\u6ce8\u5c04\u65f6\uff0c\u6d41\u901f\u4e0d\u8d85\u8fc7 5 mL\/s\uff0c\u538b\u529b\u4e0d\u8d85\u8fc7 300 psi[23]\u3002\u5927\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u4f7f\u7528 TIVAP \u6ce8\u5c04\u5bf9\u6bd4\u5242\u662f\u5b89\u5168\u7684\uff0c\u6781\u5c11\u6570\u4f1a\u51fa\u73b0\u5bf9\u6bd4\u5242\u5916\u6e17\u3001\u8fde\u63a5\u7ba1\u65ad\u5f00\u6216\u5bfc\u7ba1\u79fb\u4f4d\uff0c\u5176\u4e2d\uff0c\u51fa\u73b0\u5bf9\u6bd4\u5242\u5916\u6e17\u7684\u75c5\u4f8b\u4e3b\u8981\u4e0e\u5bfc\u7ba1\u53d7\u5230\u7834\u574f\u6709\u5173\uff0c\u8fde\u63a5\u7ba1\u65ad\u5f00\u4e3b\u8981\u4e0e\u6ce8\u5c04\u538b\u529b\u8fc7\u9ad8\u6709\u5173\uff0c\u5bfc\u7ba1\u79fb\u4f4d\u4e0e\u60a3\u8005\u7684\u4f53\u4f4d\u66f4\u6362\u3001\u6d3b\u52a8\u3001\u5bfc\u7ba1\u5185\u5728\u5f39\u6027\u3001\u6ce8\u5c04\u538b\u529b\u8fc7\u9ad8\u6709\u5173\uff0c\u7279\u522b\u662f\u80a5\u80d6\u6216\u5973\u6027\u75c5\u4eba\uff0c\u6b64\u5916\uff0c\u7c98\u5ea6\u8f83\u9ad8\u7684\u5bf9\u6bd4\u5242\u6bd4\u7c98\u5ea6\u8f83\u4f4e\u7684\u5bf9\u6bd4\u5242\u66f4\u6613\u53d1\u751f\u79fb\u4f4d [23]\uff0c\u56e0\u6b64\uff0c\u4f7f\u7528 TIVAP \u9ad8\u538b\u6ce8\u5c04\u524d\uff0c\u5e94\u5c06\u5bf9\u6bd4\u5242\u52a0\u6e29\u81f337\u2103\u3002<\/p>\n
4<\/p>\n
\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u9759\u8109\u8f93\u6ce8\u64cd\u4f5c\u89c4\u8303 <\/p>\n
4.1 \u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u64cd\u4f5c\u89c4\u8303<\/p>\n
\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u56e0\u5176\u64cd\u4f5c\u7b80\u5355\u3001\u4ef7\u683c\u76f8\u5bf9\u8f83\u4f4e\u3001\u53ef\u9009\u578b\u53f7\u8f83\u591a\uff0c\u53ef\u4ee5\u6ee1\u8db3\u4e0d\u540c\u6ce8\u5c04\u6d41\u901f\u7684\u8981\u6c42\uff0c\u662f\u6700\u5e38\u7528\u7684\u5f71\u50cf\u9759\u8109\u8f93\u6ce8\u5de5\u5177 [24]\u3002<\/p>\n
4.1.1 \u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u524d\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u4f7f\u7528\u64cd\u4f5c\u89c4\u8303<\/p>\n
\u68c0\u67e5\u524d\uff0c\u6267\u884c\u67e5\u5bf9\u5236\u5ea6\uff0c\u8be2\u95ee\u8fc7\u654f\u53f2\uff0c\u7b7e\u7f72\u77e5\u60c5\u540c\u610f\u4e66\uff0c\u6839\u636e\u6d41\u901f\u51c6\u5907\u9002\u5b9c\u578b\u53f7\u7684\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\uff0c\u6267\u884c\u624b\u536b\u751f\u53ca\u65e0\u83cc\u64cd\u4f5c\u6280\u672f\uff0c\u9009\u62e9\u7a7f\u523a\u90e8\u4f4d\uff0c\u8fdb\u884c\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u7a7f\u523a\uff0c \u5c3d\u91cf\u4fdd\u8bc1\u7a7f\u523a\u4e00\u6b21\u6027\u6210\u529f\uff0c\u907f\u514d\u56e0\u591a\u6b21\u53cd\u590d\u5728\u540c\u4e00\u8840\u7ba1\u7a7f\u523a\u800c\u5bfc\u81f4\u9ad8\u538b\u6ce8\u5c04\u8fc7\u7a0b\u4e2d\u7684\u5bf9\u6bd4\u5242\u5916\u6e17 [25]\u3002\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u7a7f\u523a\u6210\u529f\u540e\uff0c\u59a5\u5584\u56fa\u5b9a\u3002<\/p>\n
4.1.1.1 \u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u578b\u53f7\u7684\u9009\u62e9<\/p>\n
\u6839\u636e\u5f71\u50cf\u589e\u5f3a\u76ee\u7684\uff0c\u9009\u62e9\u5408\u9002\u7684\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u30022016 \u7248\u300aCT \u68c0\u67e5\u6280\u672f\u4e13\u5bb6\u5171\u8bc6\u300b\u63d0\u51fa [26]\uff0c\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u5e94\u6839\u636e\u68c0\u67e5\u90e8\u4f4d\u3001\u6ce8\u5c04\u538b\u529b\u53ca\u8840\u7ba1\u9009\u62e9\u5339\u914d\u7684\u7559\u7f6e\u9488\u578b\u53f7\uff0c \u662f\u964d\u4f4e\u5bf9\u6bd4\u5242\u5916\u6e17\u53d1\u751f\u7684\u5173\u952e\u3002\u76ee\u524d\u5e38\u7528\u7684\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u578b\u53f7\u6709 16~24 G\u3002\u6ce8\u5c04\u6d41\u901f <2 mL\/s\uff0c\u5efa\u8bae\u9009\u62e9 24 G \uff1b\u6ce8\u5c04\u6d41\u901f 2.0~3.0 mL\/s\uff0c\u5efa\u8bae\u9009\u62e9 22 G \uff1b\u6ce8\u5c04\u6d41\u901f >3 mL\/s\uff0c \u5efa\u8bae\u9009\u62e9 18~20 G\u3002<\/p>\n
4.1.1.2 \u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u7a7f\u523a\u90e8\u4f4d\u7684\u9009\u62e9<\/p>\n
\u53c2\u7167\u300a\u9759\u8109\u6cbb\u7597\u62a4\u7406\u6280\u672f\u64cd\u4f5c\u89c4\u8303\uff08WS\/T 433-2013\uff09\u300b[11]\uff0c\u7ed3\u5408\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u5bf9\u6bd4\u5242\u9759\u8109\u56e2\u6ce8\u7684\u7279\u70b9\uff0c\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u7a7f\u523a\u90e8\u4f4d \uff1a\u2460 \u9996\u9009\u4e0a\u80a2\u7c97\u3001\u76f4\u3001\u5f39\u6027\u597d\u4e14\u6d3b\u52a8\u5ea6\u8f83\u5c0f\u3001\u6613\u4e8e\u56fa\u5b9a\u7684\u9759\u8109\uff0c\u5982\u5934\u9759\u8109\u3001\u8098\u6b63\u4e2d\u9759\u8109\u3001\u8d35\u8981\u9759\u8109\u7b49\uff0c\u5c3d\u91cf\u907f\u514d\u5728\u624b\u80cc\u5904\u9009\u62e9\u8840\u7ba1 \uff1b\u2461 \u907f\u5f00\u9759\u8109\u74e3\u3001\u5173\u8282\u90e8\u4f4d\u53ca\u6709\u7622\u75d5\u3001\u708e\u75c7\u4e0e\u786c\u7ed3\u7b49\u5904\u7684\u9759\u8109\uff1b\u2462 \u6210\u5e74\u4eba\u4e0d\u5b9c\u9009\u62e9\u4e0b\u80a2\u9759\u8109\u7a7f\u523a\uff1b\u2463 \u63a5\u53d7\u4e73\u623f\u6839\u6cbb\u672f\u3001\u814b\u4e0b\u6dcb\u5df4\u7ed3\u6e05\u626b\u672f\u3001\u8840\u6813\u53f2\u548c\u8840\u7ba1\u624b\u672f\u53f2\u7684\u60a3\u8005\u5e94\u9009\u5065\u4fa7\u4e0a\u80a2\u8fdb\u884c\u7a7f\u523a\uff1b\u2464 \u5c3d\u91cf\u907f\u514d\u5728\u4e2d\u5fc3\u9759\u8109\u7f6e\u7ba1\u540c\u4fa7\u4e0a\u80a2\u9759\u8109\u7a7f\u523a\uff1b\u2465 \u5982\u679c\u60a3\u8005\u884c CT\u8840\u7ba1\u6210\u50cf\uff08CT Angiography\uff0cCTA\uff09\u68c0\u67e5\uff0c\u5c24\u5176\u662f\u5934\u9888\u52a8\u8109\u3001\u51a0\u72b6\u52a8\u8109\u3001\u80ba\u52a8\u8109 CTA \u68c0\u67e5\u65f6\uff0c\u5e94\u5c3d\u91cf\u9009\u62e9\u53f3\u4fa7\u4e0a\u80a2\u7a7f\u523a\uff0c \u53ef\u51cf\u5c11\u9759\u8109\u4f2a\u5f71\u5bf9\u56fe\u50cf\u8d28\u91cf\u9020\u6210\u5f71\u54cd [27]\uff1b\u2466 \u5bf9\u4e8e\u957f\u671f\u653e\u5316\u7597\u3001\u6c34\u80bf\u3001\u80a5\u80d6\u3001\u5a74\u5e7c\u513f\u7b49\u7279\u6b8a\u4eba\u7fa4\u6ce8\u610f\u7a7f\u523a\u6280\u5de7\uff0c\u53ef\u9009\u62e9\u8f85\u52a9\u5de5\u5177\u5982\u7ea2\u5916\u7ebf\u8840\u7ba1\u6210\u50cf\u4eea\u6216\u8d85\u58f0\u5f15\u5bfc\u4e0b\u7a7f\u523a\u3002<\/p>\n
4.1.2 \u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4e2d\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u64cd\u4f5c\u89c4\u8303<\/p>\n
\u68c0\u67e5\u4e2d\uff0c\u518d\u6b21\u6838\u5bf9\u60a3\u8005\u53ca\u68c0\u67e5\u4fe1\u606f\uff0c\u786e\u4fdd\u7559\u7f6e\u9488\u901a\u7545\uff0c\u59a5\u5584\u56fa\u5b9a\u9ad8\u538b\u6ce8\u5c04\u5668\u7ba1\u8def\uff0c\u8c03\u6574\u9ad8\u538b\u6ce8\u5c04\u5668\u4f4d\u7f6e\uff0c\u907f\u514d\u7275\u62c9\u800c\u5bfc\u81f4\u7559\u7f6e\u9488\u79fb\u4f4d\u6216\u8005\u6ed1\u8131\uff1b\u9884\u6ce8\u5c04\u751f\u7406\u76d0\u6c34\uff0c\u89c2\u5bdf\u7a7f\u523a\u90e8\u4f4d\u53ca\u7a7f\u523a\u70b9\u8fdc\u7aef\u662f\u5426\u6709\u6e17\u6f0f\uff1b\u5bf9\u6bd4\u5242\u6ce8\u5c04\u8fc7\u7a0b\u4e2d\uff0c\u4e25\u5bc6\u76d1\u6d4b\u6ce8\u5c04\u6d41\u901f\u53ca\u6ce8\u5c04\u538b\u529b\uff0c\u5982\u6709\u5f02\u5e38\uff0c\u7acb\u5373\u505c\u6b62\u6ce8\u5c04\uff0c\u5bf9\u75c7\u5904\u7406\u5e76\u8bb0\u5f55\u3002<\/p>\n
4.1.3 \u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u540e\u5916\u5468\u9759\u8109\u7559\u7f6e\u9488\u64cd\u4f5c\u89c4\u8303<\/p>\n
\u68c0\u67e5\u540e\uff0c\u6307\u5bfc\u60a3\u8005\u591a\u996e\u6c34\uff0c\u52a0\u5feb\u5bf9\u6bd4\u5242\u6392\u6cc4\uff0c\u5728\u89c2\u5bdf\u533a\u57df\u7b49\u5019 15~30 min[28]\uff0c\u4e0d\u53ef\u81ea\u884c\u79bb\u5f00\u68c0\u67e5\u533a\u57df\uff0c\u65e0\u4e0d\u826f\u53cd\u5e94\u540e\u65b9\u53ef\u62d4\u9488\u3002<\/p>\n
4.2 \u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\uff08PICC\\CVC\\TIVAP\uff09\u64cd\u4f5c\u89c4\u8303<\/p>\n
CVC\u3001PICC\u3001TIVAP \u5747\u5c5e\u4e8e\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u7684\u79cd\u7c7b\uff0c\u5176\u5bfc\u7ba1\u6750\u8d28\u4e3b\u8981\u6709\u7845\u80f6\u7c7b\u3001\u805a\u6c28\u916f\u7c7b\u548c\u805a\u6c2f\u4e59\u70ef\u7c7b\uff0c\u5176\u6750\u6599\u53ca\u7279\u6027\uff0c\u89c1\u8868 1\u3002\u5176\u4e2d\uff0c\u6709\u8010\u9ad8\u538b\u6807\u8bc6\u7684\u5f3a\u5316\u805a\u6c28\u916f\u6750\u8d28\u7684\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u53ef\u7528\u4e8e\u9ad8\u538b\u6ce8\u5c04\u5bf9\u6bd4\u5242 [20]\uff0c\u7279\u522b\u662f\u957f\u671f\u653e\u5316\u7597\u3001\u56db\u80a2\u9759\u8109\u8840\u7ba1\u7834\u574f\u4e25\u91cd\u3001\u5f39\u6027\u5dee\u7b49\u7a7f\u523a\u5341\u5206\u56f0\u96be\u7684\u6025\u5371\u91cd\u75c7\u60a3\u8005\uff0c\u6025\u9700\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u5b8c\u5584\u624b\u672f\u6307\u5f81\u6216\u75c5\u60c5\u5224\u65ad\uff0c\u53ef\u907f\u514d\u60a3\u8005\u906d\u53d7\u53cd\u590d\u7a7f\u523a\u7684\u75db\u82e6 [17]\u3002<\/p>\n<\/p>\n
\u6839\u636e\u300a\u9759\u8109\u6cbb\u7597\u62a4\u7406\u6280\u672f\u64cd\u4f5c\u89c4\u8303\u300b\uff0cCVC\u3001PICC\u3001TIVAP \u7684\u6700\u4f73\u7a7f\u523a\u90e8\u4f4d\u5404\u4e0d\u76f8\u540c\uff0c\u5176\u7559\u7f6e\u65f6\u95f4\u4e5f\u5404\u4e0d\u76f8\u540c\uff0c\u5176\u7c7b\u578b\u53ca\u533a\u522b\uff0c\u89c1\u8868 2\u3002\u5f71\u50cf\u79d1\u62a4\u7406\u4eba\u5458\u5728\u4f7f\u7528\u524d\u5e94\u786e\u8ba4\u4e2d\u5fc3\u9759\u8109\u7684\u5bfc\u7ba1\u7684\u6750\u8d28\u4e3a\u8010\u9ad8\u538b\u578b\u3001\u4e14\u7a7f\u523a\u90e8\u4f4d\u5408\u9002\u3002<\/p>\n<\/p>\n
4.2.1 \u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4f7f\u7528\u524d\u62a4\u7406<\/p>\n
\u4f7f\u7528\u524d\u4e3b\u8981\u62a4\u7406\u5185\u5bb9\u5305\u62ec\u4ee5\u4e0b\u51e0\u4e2a\u65b9\u9762\uff1a\u2460 \u786e\u8ba4\u7ba1\u8def\u662f\u5426\u4e3a\u8010\u9ad8\u538b\u6750\u8d28\uff0c\u6240\u6807\u6ce8\u538b\u529b\u9650\u503c\u662f\u5426\u7b26\u5408\u68c0\u67e5\u8981\u6c42\uff0c\u5982\u4e3a TIVAP\uff0c\u9700\u786e\u8ba4\u6e2f\u4f53\u53ca\u65e0\u9488\u8f93\u6db2\u63a5\u5934\u5747\u6709\u8010\u9ad8\u538b\u6807\u8bc6\uff0c\u786e\u8ba4\u4ee5\u4e0a\u7ec4\u4ef6\u5747\u4e3a\u8010\u9ad8\u538b\u6750\u8d28 \uff1b\u2461 \u6838\u5bf9\u60a3\u8005\u4fe1\u606f\u3001\u68c0\u67e5\u9879\u76ee\u3001\u5bf9\u6bd4\u5242\u540d\u79f0\u53ca\u5242\u91cf\u3001\u68c0\u67e5\u7533\u8bf7\u5355\u548c\u77e5\u60c5\u540c\u610f\u4e66\u5b8c\u6574\u6027\uff1b\u2462 \u6267\u884c\u624b\u536b\u751f\u53ca\u65e0\u83cc\u64cd\u4f5c\u6280\u672f\u3002\u4f7f\u7528\u5408\u9002\u7684\u6d88\u6bd2\u5242\u5305\u62ec[29]\uff1a75% \u4e59\u9187\u3001\u6d53\u5ea6 >0.5% \u7684\u8461\u8404\u7cd6\u9178\u6c2f\u5df2\u5b9a\u4e59\u9187\u6eb6\u6db2\u548c\u6709\u6548\u7898\u6d53\u5ea6\u4e0d\u4f4e\u4e8e 0.5% \u7898\u4f0f\u6eb6\u6db2\uff0c\u5e94\u7528\u673a\u68b0\u6cd5\u7528\u529b\u64e6\u62ed\u8f93\u6db2\u63a5\u5934\u7684\u6a2a\u622a\u9762\u548c\u5916\u56f4\uff0c\u6d88\u6bd2\u65f6\u95f4\u2265 15 s\uff0c\u4f7f\u7528\u6d88\u6bd2\u5242\u5e94\u81ea\u7136\u5f85\u5e72 \uff1b\u2463 \u8bc4\u4f30\u7a7f\u523a\u90e8\u4f4d\u60c5\u51b5\uff1a\u7a7f\u523a\u4fa7\u624b\u81c2\u662f\u5426\u6709\u80bf\u80c0\u3001\u75bc\u75db\uff0c\u6577\u6599\u662f\u5426\u6709\u677e\u8131\u3001\u6f6e\u6e7f\u6216\u6c61\u67d3\uff0c\u7a7f\u523a\u70b9\u53ca\u5468\u56f4\u76ae\u80a4\u6709\u65e0\u7ea2\u80bf\u70ed\u75db\u53ca\u6e17\u51fa\uff0c\u5982\u4e3a TIVAP\uff0c\u9700\u89e6\u6478\u6e2f\u4f53\u4f4d\u7f6e\u3001\u8f6e\u5ed3\uff0c\u67e5\u770b\u65e0\u635f\u9488\u5b8c\u6574\u6027\uff0c\u540c\u4fa7\u80f8\u90e8\u3001\u9888\u90e8\u9759\u8109\u53ca\u56db\u80a2\u6709\u65e0\u80bf\u80c0\u3001\u538b\u75db\u6216\u611f\u67d3\uff0c\u786e\u5b9a\u76ae\u4e0b\u8102\u80aa\u5927\u81f4\u539a\u5ea6\uff1b\u2464 \u68c0\u67e5\u5bfc\u7ba1\u901a\u7545\u6027\uff1a\u7528 10 mL \u53ca\u4ee5\u4e0a\u6ce8\u5c04\u5668\u6216\u4e00\u6b21\u6027\u4e13\u7528\u51b2\u6d17\u88c5\u7f6e\u62bd\u56de\u8840\uff08\u4e09\u5411\u74e3\u819c\u5f0f PICC \u5bfc\u7ba1\u9664\u5916\uff09\uff0c\u89c1\u56de\u8840\u540e\u5b9c\u7528\u751f\u7406\u76d0\u6c34\u8109\u51b2\u5f0f\u51b2\u6d17\u5bfc\u7ba1\uff0c\u786e\u8ba4\u5bfc\u7ba1\u901a\u7545\u540e\u4f7f\u7528\uff1b\u2465\u59a5\u5584\u56fa\u5b9a\u5bfc\u7ba1\u3002<\/p>\n
4.2.2 \u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4f7f\u7528\u4e2d\u62a4\u7406<\/p>\n
\u4f7f\u7528\u4e2d\u4e3b\u8981\u62a4\u7406\u5185\u5bb9\uff1a\u2460 \u518d\u6b21\u6838\u5bf9\u60a3\u8005\u53ca\u68c0\u67e5\u4fe1\u606f\uff0c\u5c06\u65e0\u9488\u8f93\u6db2\u63a5\u5934\u4e0e\u9ad8\u538b\u6ce8\u5c04\u5668\u7ba1\u8def\u8fde\u63a5 \uff1b\u2461 \u59a5\u5584\u56fa\u5b9a\u9ad8\u538b\u6ce8\u5c04\u5668\u7ba1\u8def\uff0c\u8c03\u6574\u9ad8\u538b\u6ce8\u5c04\u5668\u4f4d\u7f6e\uff0c\u907f\u514d\u8fdb\u5e8a\u8fc7\u7a0b\u4e2d\u8fc7\u5ea6\u7275\u62c9\u5bfc\u7ba1\uff1b\u2462 \u6ce8\u5c04\u8fc7\u7a0b\u4e2d\u5e94\u6ce8\u610f\u60a3\u8005\u7684\u7528\u836f\u53cd\u5e94\uff1b\u2463 \u6ce8\u5c04\u8fc7\u7a0b\u4e2d\u4e25\u5bc6\u76d1\u6d4b\u6ce8\u5c04\u6d41\u901f\u53ca\u6ce8\u5c04\u538b\u529b\uff0c\u5982\u6709\u5f02\u5e38\uff0c\u53ca\u65f6\u5904\u7406\u3002<\/p>\n
4.2.3 \u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4f7f\u7528\u540e\u62a4\u7406<\/p>\n
\u4f7f\u7528\u540e\u4e3b\u8981\u62a4\u7406\u5185\u5bb9\uff1a\u2460 \u51b2\u7ba1 \uff1a\u5e94\u7528\u5bfc\u7ba1\u5bb9\u79ef\u52a0\u5ef6\u957f\u7ba1 2 \u500d\u7684\u751f\u7406\u76d0\u6c34\u8109\u51b2\u5f0f\u51b2\u6d17\uff0c\u5373\u81f3\u5c11\u4f7f\u7528 20 mL \u751f\u7406\u76d0\u6c34\u8fdb\u884c\u51b2\u7ba1\uff1b\u2461 \u5c01\u7ba1 \uff1aCVC\/PICC \u5e94\u7528\u5bfc\u7ba1\u5bb9\u79ef\u52a0\u5ef6\u957f\u7ba11.2 \u500d\u7684\u809d\u7d20\u94a0\u76d0\u6c34\uff08\u6d53\u5ea6\u4e3a 0~10 U\/mL\uff09\u8fdb\u884c\u6b63\u538b\u5c01\u7ba1\u3002TIVAP \u7528 100 U\/mL \u7684\u7a00\u91ca\u809d\u7d20\u6db2\u6b63\u538b\u5c01\u7ba1\uff0c\u542b\u5b89\u5168\u9600\u6216\u524d\u7aef\u95ed\u5408\u5f0f\u8bbe\u8ba1\u5bfc\u7ba1\u7528\u751f\u7406\u76d0\u6c34\u51b2\u6d17\uff1b\u4f7f\u7528\u91cf\u4e3a\u5bfc\u7ba1\u52a0\u5ef6\u957f\u7ba1\u5bb9\u79ef\u7684\uff12\u500d \uff1b\u2462 \u586b\u5199\u4f7f\u7528\u8bb0\u5f55\u5355\uff08\u56fe 2\uff09\u3002<\/p>\n<\/p>\n
\u56fe2 \u5f71\u50cf\u589e\u5f3a\u4f7f\u7528\u4e2d\u5fc3\u9759\u8109\u8bb0\u5f55\u5355<\/p>\n
4.2.4 \u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u8f93\u6ce8\u5de5\u5177\u4f7f\u7528\u6ce8\u610f\u4e8b\u9879<\/p>\n
\uff081\uff09\u4eba\u5458\u8d44\u8d28\u3002\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u7684\u4f7f\u7528\u5e94\u7531\u7ecf\u8fc7\u4e13\u4e1a\u57f9\u8bad\u7684\u4eba\u5458\u64cd\u4f5c\u5e76\u9700\u8981\u901a\u8fc7\u53cd\u590d\u7ec3\u4e60\uff0c\u5177\u5907\u5a34\u719f\u7684\u6280\u672f\u548c\u4e30\u5bcc\u7684\u7ecf\u9a8c\uff1b\u8d44\u8d28\u51c6\u5165\u76f8\u5173\u57f9\u8bad\u5185\u5bb9\u53ef\u5305\u62ec\u5728\u6a21\u578b\u4e0a\u8fdb\u884c\u6a21\u62df\u64cd\u4f5c\uff0c\u8fd8\u9700\u5728\u4e13\u4e1a\u7ec4\u6210\u5458\u7684\u6307\u5bfc\u4e0b\u5b8c\u6210\u4e00\u5b9a\u6570\u91cf\u7684\u5b9e\u9645\u64cd\u4f5c\uff0c\u65b9\u53ef\u72ec\u7acb\u64cd\u4f5c\u3002<\/p>\n
\uff082\uff09\u5b9a\u671f\u57f9\u8bad\u3002\u5e94\u5b9a\u671f\u8fdb\u884c\u8010\u9ad8\u538b\u578b\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u76f8\u5173\u5185\u5bb9\u7684\u57f9\u8bad\uff0c\u5305\u62ec\u4ea7\u54c1\u4ecb\u7ecd\u3001\u9002\u5e94\u75c7\u548c\u7981\u5fcc\u75c7\u3001\u57fa\u672c\u8981\u6c42\u3001\u64cd\u4f5c\u7a0b\u5e8f\u3001\u5f02\u5e38\u60c5\u51b5\u7684\u8bc6\u522b\u548c\u5904\u7406\u7b49\u7b49\u3002\uff083\uff09\u51b2\u7ba1\u548c\u5c01\u7ba1\u3002\u5404\u7c7b\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u4f7f\u7528\u540e\u5747\u5e94\u6309\u7167\u8981\u6c42\u6b63\u786e\u8fdb\u884c\u51b2\u7ba1\u548c\u5c01\u7ba1\uff0c\u5fc5\u8981\u65f6\u8bf7\u4e13\u79d1\u534f\u52a9\u5b8c\u6210\u3002<\/p>\n
\uff084\uff09\u4f7f\u7528\u8fc7\u7684\u6d88\u6bd2\u5e3d\u4e00\u65e6\u4e0e\u65e0\u9488\u63a5\u5934\u65ad\u5f00\u8fde\u63a5\uff0c\u5219\u5e94\u4e22\u5f03\uff0c\u4e0d\u80fd\u518d\u6b21\u91cd\u590d\u4f7f\u7528 [30]\u3002\u5efa\u8bae\u5c06\u5bf9\u6bd4\u5242\u4f7f\u7528\u524d\u52a0\u6e29\u523037\u2103\uff0c\u4ece\u800c\u964d\u4f4e\u5bfc\u7ba1\u8154\u5185\u7684\u538b\u529b\u548c\u5bfc\u7ba1\u79fb\u4f4d\u7684\u98ce\u9669\u3002<\/p>\n
\uff085\uff09\u7279\u6b8a\u7684\u5904\u7f6e\u63aa\u65bd\u3002\u6839\u636e\u4e0d\u540c\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u5728\u9ad8\u538b\u6ce8\u5c04\u65f6\u6613\u53d1\u751f\u7684\u5e76\u53d1\u75c7\uff0c\u5e94\u4e0e\u4e13\u79d1\u505a\u597d\u6c9f\u901a\uff0c\u9488\u5bf9\u6027\u91c7\u53d6\u9884\u9632\u548c\u5904\u7f6e\u63aa\u65bd\uff0c\u4f8b\u5982 PICC \u5c16\u7aef\u79fb\u4f4d\u7684\u6b63\u786e\u5904\u7f6e\u3002<\/p>\n
4<\/p>\n
\u603b\u7ed3 <\/p>\n
\u672c\u5171\u8bc6\u65e8\u5728\u63a8\u52a8\u56fd\u5185\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u9ad8\u538b\u6ce8\u5c04\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u9009\u62e9\u53ca\u4f7f\u7528\u7684\u89c4\u8303\uff0c\u51cf\u5c11\u5e76\u53d1\u75c7\uff0c\u63d0\u9ad8\u60a3\u8005\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u7684\u5b89\u5168\u6027\uff0c\u4e3a\u5f71\u50cf\u62a4\u58eb\u63d0\u4f9b\u79d1\u5b66\u4f9d\u636e\u548c\u6307\u5f15\u3002\u672c\u5171\u8bc6\u4e5f\u5c06\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u8fdb\u4e00\u6b65\u5b8c\u5584\uff0c\u4ee5\u83b7\u53d6\u66f4\u591a\u7684\u8bc1\u636e\u5e76\u66f4\u65b0\u3002<\/p>\n
\u652f\u6301\u673a\u6784\uff1a<\/p>\n
\u4e2d\u534e\u533b\u5b66\u4f1a\u5f71\u50cf\u6280\u672f\u5206\u4f1a\u533b\u5b66\u5f71\u50cf\u62a4\u7406\u4e13\u59d4\u4f1a<\/p>\n
\u6cf0\u5c14\u8302\u533b\u7597\u4ea7\u54c1\uff08\u676d\u5dde\uff09\u6709\u9650\u516c\u53f8<\/p>\n
\u4e3b\u6301\uff1a\u5b8b\u5c11\u5a1f\u3001\u8d75\u4fd0\u7ea2<\/p>\n
\u7f16\u5199\u4eba\uff1a\u8d75\u4fd0\u7ea2\u3001\u5218\u5e73\u3001\u4ed8\u4fca\u6770\u3001\u674e\u7d20\u5170\u3001\u5f20\u5b5d\u7434\u3001\u7a0b\u7433\u3001\u8d3e\u6653\u831c<\/p>\n
\u7f16\u5199\u79d8\u4e66\uff1a\u5f20\u5b5d\u7434\u3001\u8d3e\u6653\u831c\u3001\u7a0b\u7433<\/p>\n
\u4e3b\u5ba1\uff1a\u5b8b\u5c11\u5a1f\u3001\u8d75\u4fd0\u7ea2\u3001\u5218\u5e73\u3001\u4ed8\u4fca\u6770\u3001\u674e\u7d20\u5170\u901a\u4fe1\u4f5c\u8005\uff1a\u8d75\u4fd0\u7ea2\u3001\u5218\u5e73\u3001\u4ed8\u4fca\u6770<\/p>\n
\u7f16\u5199\u4e13\u5bb6\u7ec4\u6210\u5458\uff08\u6309\u7167\u59d3\u6c0f\u62fc\u97f3\u6392\u5e8f\uff09\uff1a<\/p>\n
\u7a0b \u7433 \u9646\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u9093 \u8679 \u4e2d\u5c71\u5927\u5b66\u5b59\u9038\u4ed9\u7eaa\u5ff5\u533b\u9662\u4e01\u9999\u83b2 \u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u4e94\u533b\u9662\u675c\u5f69\u8679 \u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u516d\u533b\u9662\u8303 \u8389 \u6c5f\u82cf\u7701\u5f90\u5dde\u5e02\u7b2c\u4e00\u4eba\u6c11\u533b\u9662\u4ed8\u4fca\u6770 \u5929\u6d25\u533b\u79d1\u5927\u5b66\u603b\u533b\u9662\u803f\u4e3d\u5a1c \u5c71\u4e1c\u4e1c\u8425\u80dc\u5229\u6cb9\u7530\u4e2d\u5fc3\u533b\u9662\u4f55\u76f4\u851a \u6d77\u5357\u7701\u80bf\u7624\u533b\u9662\u8d3e\u6653\u831c \u897f\u5b89\u4ea4\u901a\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u674e\u6167\u534e \u5c71\u4e1c\u7b2c\u4e00\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7701\u7acb\u533b\u9662\u674e\u9732\u82b3 \u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u4e09\u533b\u9662\u674e\u7d20\u5170 \u90d1\u5dde\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u674e\u5c0f\u8273 \u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u76db\u5218 \u9759 \u9526\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u5218 \u5e73 \u5c71\u4e1c\u6d4e\u5b81\u533b\u5b66\u9662\u9644\u5c5e\u533b\u9662\u7f57 \u5065 \u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u9a86\u6625\u67f3 \u66a8\u5357\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u9a6c\u5929\u9e64 \u6cb3\u5357\u7701\u6c38\u57ce\u5e02\u4e2d\u5fc3\u533b\u9662\u5f6d \u8389 \u534e\u4e2d\u79d1\u6280\u5927\u5b66\u540c\u6d4e\u533b\u5b66\u9662\u9644\u5c5e\u540c\u6d4e\u533b\u9662\u66f2\u5229\u5a9b \u90d1\u5dde\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5b8b\u5c11\u5a1f \u5c71\u4e1c\u7b2c\u4e00\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7701\u7acb\u533b\u9662\u738b\u4e1c\u6e05 \u4e39\u4e1c\u5e02\u7b2c\u4e00\u533b\u9662\u738b\u4fca\u537f \u5c71\u897f\u7701\u4eba\u6c11\u533b\u9662\u738b\u5c0f\u7433 \u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e8c\u533b\u9662\u5434\u5bb6\u4f1a \u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u5f90 \u9633 \u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u8bb8 \u6b4c \u90d1\u5dde\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u6768\u7d20\u4e91 \u5c71\u897f\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u5c39\u5170\u82f1 \u6cb3\u5317\u533b\u79d1\u5927\u5b66\u7b2c\u4e8c\u533b\u9662\u5f20\u7f8e\u534e \u5c71\u4e1c\u7701\u6ed5\u5dde\u5e02\u4e2d\u5fc3\u4eba\u6c11\u533b\u9662\u5f20\u5b5d\u7434 \u6e29\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u8d75\u4fd0\u7ea2 \u56db\u5ddd\u5927\u5b66\u534e\u897f\u533b\u9662\u6731 \u7389 \u5e7f\u897f\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u5e84\u4e3d\u5a1c \u5927\u8fde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662<\/p>\n
\u3010\u53c2\u8003\u6587\u732e\u3011<\/p>\n
[1] \u90d1\u5c0f\u71d5,\u8521\u5fd7\u6052,\u5f90\u5efa\u840d.Y\u578b\u4e0e\u76f4\u578b\u9759\u8109\u7559\u7f6e\u9488\u7528\u4e8eCT\u589e\u5f3a\u68c0\u67e5\u6ce8\u5c04\u9020\u5f71\u5242\u6548\u679c\u6bd4\u8f83[J].\u62a4\u7406\u5b66\u6742\u5fd7,2015,30(22):52-53.<\/p>\n
[2] Mohamed M,Harraz AH,Ahmed H,et al.Closed versus conventional IV catheter in performing coronary CT Angiography[J].Egypt J Radiol Nucl Med,2020,51(3):1118-1123.<\/p>\n
[3] \u51af\u51ac\u6885,\u51af\u8c22\u5e73,\u674e\u8000\u6ce2.CT\u589e\u5f3a\u68c0\u67e5\u4e2d\u7898\u5bf9\u6bd4\u5242\u5916\u6e17\u7684\u9884\u9632\u62a4\u7406\u8fdb\u5c55[J].\u5fae\u521b\u533b\u5b66,2018,13(4):503-505.<\/p>\n
[4] \u8521\u8389,\u674e\u96ea,\u5f6d\u5a1c.\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u9ad8\u538b\u6ce8\u5c04\u7898\u5bf9\u6bd4\u5242\u7684\u5b89\u5168\u6027\u7814\u7a76\u8fdb\u5c55[J].\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u5b66\u62a5,2019,44(10):1363-1366.<\/p>\n
[5] Son RS,Song YG,Jo J,et al.Power contrast injections through a totally implantable venous power port: a retrospective multicenter study[J].Phlebology,2020,35(4):268-272.<\/p>\n
[6] \u7f57\u8273\u4e3d,\u6768\u5c0f\u73b2.\u9759\u8109\u6cbb\u7597\u7a7f\u523a\u5de5\u5177\u7684\u5408\u7406\u9009\u62e9\u4e0e\u5e94\u7528[J].\u4e2d\u56fd\u62a4\u7406\u7ba1\u7406,2014,6(6):573-573.<\/p>\n
[7] \u590f\u9ece\u660e.\u80bf\u7624\u60a3\u8005CT\u589e\u5f3a\u626b\u63cf\u5b89\u5168\u7ba1\u7406\u4e13\u5bb6\u5171\u8bc6[J].\u653e\u5c04\u5b66\u5b9e\u8df5,2017,32(6):550-555.<\/p>\n
[8] \u6768\u6653\u654f,\u987e\u76ca\u541b,\u5468\u73ab\u73ab,\u7b49.\u8109\u51b2\u5f0f\u5c01\u7ba1\u65b9\u5f0f\u53ca\u6539\u826f\u64cd\u4f5c\u65b9\u6cd5\u5728\u8001\u5e74\u60a3\u8005\u9759\u8109\u7559\u7f6e\u9488\u4e2d\u7684\u5e94\u7528\u6548\u679c[J]. \u62a4\u58eb\u8fdb\u4fee\u6742\u5fd7,2019,34(7):634-635.<\/p>\n
[9] Ding S,Meystre NR,Campeanu C,et al.Contrast media extravasations in patients undergoing computerized tomography scanning: a systematic review and meta-analysis of risk factors and interventions[J].JBI Database System Rev Implement Rep,2018,16(1):87-116.<\/p>\n
[10] \u4e2d\u534e\u533b\u5b66\u4f1a\u653e\u5c04\u5b66\u5206\u4f1a\u653e\u5c04\u62a4\u7406\u4e13\u4e1a\u59d4\u5458\u4f1a\u653e\u5c04\u8bca\u65ad\u62a4\u7406\u5b66\u7ec4.\u5f71\u50cf\u79d1\u7898\u5bf9\u6bd4\u5242\u8f93\u6ce8\u5b89\u5168\u4e13\u5bb6\u5171\u8bc6[J].\u4ecb\u5165\u653e\u5c04\u5b66\u6742\u5fd7,2018,27(8):707-712.<\/p>\n
[11] \u56fd\u5bb6\u536b\u751f\u548c\u8ba1\u5212\u751f\u80b2\u59d4\u5458\u4f1a.\u9759\u8109\u6cbb\u7597\u62a4\u7406\u6280\u672f\u64cd\u4f5c\u89c4\u8303[J]. \u4e2d\u56fd\u62a4\u7406\u7ba1\u7406,2014,14(1):1-4.<\/p>\n
[12] Nicola R,Shaqdan KW,Aran S,et al.Contrast media extravasation of computed tomography and magnetic resonance imaging: management guidelines for the radiologist[J].Curr Probl Diagn Radiol,2016,45(3):161-164.<\/p>\n
[13] Jia X,Li X,Li J,et al.Reducing the incidence of venous air embolism in contrast-enhanced CT angiography using preflushing of the power injector[J].Clin Radiol,2020,75(6):479.<\/p>\n
[14] \u7f57\u7ea2\u6885.\u5b89\u5168\u578b\u9759\u8109\u7559\u7f6e\u9488\u5728\u80fd\u8c31CT\u589e\u5f3a\u626b\u63cf\u4e2d\u7684\u5e94\u7528[J]. \u89e3\u653e\u519b\u62a4\u7406\u6742\u5fd7,2017,34(21):74-76.<\/p>\n
[15] \u90d1\u4fee\u5a77.1\u4f8b\u589e\u5f3aCT\u540e\u7559\u7f6e\u9488\u65ad\u88c2\u4e2a\u6848\u5206\u6790[J].\u5f71\u50cf\u7814\u7a76\u4e0e\u533b\u5b66\u5e94\u7528,2018,2(23):181-182.<\/p>\n
[16] \u5f20\u5a9b\u5a9b. \u8010\u9ad8\u538b\u9759\u8109\u5957\u7ba1\u9488\u5728\u9632\u6b62\u9ad8\u538b\u6ce8\u5c04\u5668\u78c1\u5171\u632f\u589e\u5f3a\u626b\u63cf\u65f6\u9020\u5f71\u5242\u5916\u6e17\u7684\u62a4\u7406\u6548\u679c[J]. \u5b9e\u7528\u533b\u5b66\u5f71\u50cf\u6742\u5fd7,2018,19(5):88-90.<\/p>\n
[17] Gorski LA,Hadaway L,Hagle ME,et al.Infusion therapy standards of practice[J].Home Healthc Now,2016,39(1):S1-S159.<\/p>\n
[18] FDA.Reminders from FDA Regarding Ruptured Vascular Access Devices from Power Injection[EB\/OL].(2026-09-18) [2021-01-05].http:\/\/www.\/MedicalDevices\/Safety\/ AlertsandNotices\/TipsandArticlesonDeviceSafety\/ucm070193.htm.<\/p>\n
[19] \u82cf\u4e3d.CT\u589e\u5f3a\u68c0\u67e5\u4e2d\u4f7f\u7528\u9ad8\u538b\u6ce8\u5c04\u5668\u5b58\u5728\u7684\u98ce\u9669\u548c\u5bf9\u7b56[J].\u4e2d\u5916\u5065\u5eb7\u6587\u6458,2012,(31):126-127.<\/p>\n
[20] \u6885\u8389,\u9ad8\u5c0f\u73b2,\u8d75\u4e91\u4e91.\u8010\u9ad8\u538b\u6ce8\u5c04\u578bPICC\u5bfc\u7ba1\u5728CT\u589e\u5f3a\u626b\u63cf\u4e2d\u7684\u5e94\u7528\u4ef7\u503c[J].\u653e\u5c04\u5b66\u5b9e\u8df5,2019,34(1):88-91.<\/p>\n
[21] Lee JTL,Ricketts J.Displacement of a power-injectable PICC following computed tomography pulmonary angiogram[J]. Radiol Case Rep,2017,12(4):690-692.<\/p>\n
[22] \u9093\u8679,\u6768\u6cfd\u5b8f,\u82cf\u8d5f,\u7b49.\u65b0\u578b\u8010\u9ad8\u538bPICC\u4f5c\u4e3aCT\u589e\u5f3a\u68c0\u67e5\u5bf9\u6bd4\u5242\u6ce8\u5c04\u901a\u8def\u7684\u4e34\u5e8a\u5e94\u7528\u7814\u7a76[J]. \u4e2d\u534e\u4ecb\u5165\u653e\u5c04\u5b66\u6742\u5fd7,2020,8(3):256-259.<\/p>\n
[23] \u5b59\u8273\u82b3.\u9ad8\u538b\u9ad8\u901f\u7387\u6ce8\u5c04\u8fdb\u884cCTP\u6210\u50cf\u7684\u5e94\u7528\u53ca\u62a4\u7406[J].\u5185\u8499\u53e4\u4e2d\u533b\u836f,2010,(2):175-176.<\/p>\n
[24] Fischer AM,Riffel P,Henzler T,et al.More holes, more contrast? Comparing an 18-gauge non-fenestrated catheter with a 22-gauge fenestrated catheter for cardiac CT[J].PLoS One,2020,15(6):e0234311.<\/p>\n
[25] \u5e38\u96c5\u7434,\u5cb3\u5e86\u4e3d,\u6768\u534e,\u7b49.\u9759\u8109\u7559\u7f6e\u9488\u4e0d\u540c\u7684\u7a7f\u523a\u65b9\u6cd5\u5bf9\u7a7f\u523a\u6210\u529f\u7387\u548c\u7559\u7f6e\u65f6\u95f4\u7684\u5f71\u54cd[J].\u4e2d\u56fd\u7f8e\u5bb9\u533b\u5b66\u6742\u5fd7,2012,(10): 259-260.<\/p>\n
[26] \u90d1\u541b\u60e0.CT \u68c0\u67e5\u6280\u672f\u4e13\u5bb6\u5171\u8bc6[J]. \u4e2d\u534e\u653e\u5c04\u5b66\u6742\u5fd7, 2016,50(12):916-928.<\/p>\n
[27] Kim J,Kim EJ,Hur JH,et al.The usefulness of fenestrated intravenous catheters compared with nonfenestrated catheter for cardiac multidetector computed tomography[J].J Comput Assist Tomogr,2019,43(3):423-427.<\/p>\n
[28] \u4e2d\u534e\u533b\u5b66\u4f1a\u653e\u5c04\u5b66\u5206\u4f1a.\u4e2d\u534e\u533b\u5b66\u4f1a\u653e\u5c04\u5b66\u5206\u4f1a.\u653e\u5c04\u79d1\u7ba1\u7406\u89c4\u8303\u4e0e\u8d28\u63a7\u6807\u51c6\uff082017\u7248\uff09[M].\u5317\u4eac:\u4eba\u6c11\u536b\u751f\u51fa\u7248\u793e,2017:32.<\/p>\n
[29] Gorski LA.The 2016 infusion therapy standards of practice[J].Home Healthc Now,2017,35(1):10-18.<\/p>\n
[30] Moureau NL,Flynn J.Disinfection of needleless connector hubs: clinical evidence systematic review[J].Nurs Res Pract,2015,(2015):796762.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u5f71\u50cf\u589e\u5f3a\u68c0\u67e5\u9759\u8109\u8f93\u6ce8\u5de5\u5177\u89c4\u8303 \u5e94\u7528\u4e13\u5bb6\u5171\u8bc6 \u4e2d\u534e\u533b\u5b66\u4f1a\u5f71\u50cf\u6280\u672f\u5206\u4f1a\u533b\u5b66\u5f71\u50cf\u62a4\u7406\u4e13 … \u7ee7\u7eed\u9605\u8bfb