【摘 要】目的：探讨通过外周中心静脉导管插入术(PICC)对完全栓塞性导管闭塞的患者进行溶栓再通和护理的临床效果。方法：选择我院收治的PICC完全性血栓导管阻塞的患者60例。选择患者为2018年2月至2019年8月，根据随机数字表法分为A组和B组。结果：A组溶栓再通率为96.7%，B组为93.3%。差异无统计学意义(P>0.05)。A组的舒适度得分低于B组，差异有统计学意义(P<0.05)。结论：PICC患者完全采用血栓导管闭塞术，采用注射器负压辅助溶栓和再通方法可取得良好效果。溶栓手术时间短，患者舒适度高，具有较高的临床应用和推荐价值。

    【关键词】PICC;完全血栓性导管堵塞;溶栓再通法;护理

    【中图分类号】R472 【文献标识码】B 【文章编号】1002-8714(2020)02-00-01

    【Abstract】Objective： To investigate the clinical effects of thromboplasty and nursing in patients with complete embolic catheter occlusion through peripheral central venous catheterization (PICC). Methods： Sixty patients with PICC complete thrombocatheter obstruction admitted to our hospital were enrolled. Patients were selected from February 2018 to August 2019 and were divided into groups A and B according to the random number table method. Results： The recanalization rate of group A was 96.7% ......