Nursing of a breast cancer patient with allergic dermatitis after peripherally inserted central catheter placement (1例乳腺癌化疗患者PICC置管后并发过敏性皮炎的护理体会)

Abstract

Peripherally inserted central catheters (PICCs) are used as first-line central venous catheters for the delivery of chemotherapy and supportive care in cancer patients. However, PICCs-related complications, such as phlebitis, blockage, infection and allergic dermatitis may increase the level of pain and affect the following treatment. This paper summarized the nursing experience of allergic dermatitis after PICC placement in a breast cancer patient undergoing chemotherapy. Based on analyzing the relevant factors of allergic dermatitis and syndrome differentiation, timely medication, psychological intervention, dietary guidance, and other nursing interventions were carried out to relieve the local symptoms such as sitching, inflammation, rash and redness. (经外周静脉穿刺置入中心静脉导管(PICC)普遍应用于肿瘤治疗中, 但PICC相关并发症, 如静脉炎、导管堵塞、感染、过敏性皮炎等, 不仅增加患者痛苦, 还会影响患者的正常治疗。本文总结1例乳腺癌化疗患者PICC置管后并发过敏性皮炎的护理经验。护理人员积极评估皮损程度, 开展辨证施护, 通过加强皮肤护理、用药护理、心理干预、饮食指导等护理措施, 缓解局部瘙痒, 消除皮疹及红肿, 改善患者的皮肤过敏反应。)

Keywords

• breast cancer
• chemotherapy
• peripherally inserted central catheter
• allergic dermatitis
• psychological nursing
• 乳腺癌
• 化疗
• 经外周静脉置入中心静脉导管
• 过敏性皮炎
• 心理护理