首例多发性骨髓瘤伴感染患者迷你中线导管置管及护理体会

Mini-Midline Catheter Placement and Nursing Experience of the First Case of Multiple Myeloma with Infection

摘要: 总结我院首例多发性骨髓瘤、肺炎伴心功能不全患者置入迷你中线导管置管及维护全过程的护理经验。患者高龄，确诊多发性骨髓瘤，经一程化疗，本次因感染入院，伴肺部炎症、高热，患者静脉条件差，穿刺困难，补液较多且每日分批次输注，留置合适的静脉通路十分重要。迷你中线导管穿刺速度快，安全性高，在置管中使用B超引导穿刺技术，提高穿刺成功率。患者住院2周，病情好转，予以拔除导管，使用期间未发生导管相关并发症。

Abstract: Nursing experience is summarized on the whole process of placement and maintenance of a mini midline catheter in the first case of multiple myeloma and pneumonia with cardiac insufficiency in our hospital. The patient was elderly and diagnosed with multiple myeloma. After one course of chemotherapy, he was admitted to the hospital due to infection, accompanied by pulmonary inflammation and high fever. The patient had poor venous conditions, a difficult puncture, more fluid infusion and daily infusion in batches. It is very important to retain the appropriate venous access. The mini midline catheter has a fast puncture speed and high safety. B-ultrasound guided puncture technique is used in catheterization to improve the success rate of puncture. The patient was hospitalized for 2 weeks, the condition improved, and the catheter was removed. No catheter-related complications occurred during use.