总结1例食道恶性肿瘤引发胸廓出口综合征患者接受改良经颈内静脉双隧道经外周静脉置入中心静脉导管（peripherally inserted central catheter，PICC）置入术的护理经验。主要护理要点包括：多学科协作评估患者静脉状况，分析置管难点及风险；制订并优化置管方案；应用心脏超声联合“雪花征”进行尖端定位；严密监测并发症；强化患者回访工作。经精心且专业的治疗与护理，患者于第6次化疗后成功拔除导管，未出现导管相关性并发症。

To summarize the nursing experience of a patient with thoracic outlet syndrome caused by esophageal malignant tumor who underwent modified PICC catheter insertion via double tunnels in the internal jugular vein.The main nursing points include:multidisciplinary discussion to assess the patient’s venous condition,analysis of the challenges and risks associated with catheterization;determine the piping plan and improve the piping method;cardiac ultrasound combined with “snowflake sign” for tip localization;closely monitor the occurrence of complications;strengthen patient follow-up.After undergoing meticulous and professional treatment and care,the patient had the catheter removed following the sixth chemotherapy session,without any catheter-related complications.

R472.9

第一师阿拉尔市科技计划项目（师市科技攻关计划）2023YL11