International Journal of Nursing Research
International Journal of Nursing Research. 2021; 3: (3) ; 10.12208/j.ijnr. 20210080 .
总浏览量: 797
国家电网公司北京电力医院心内科 北京
*通讯作者: 闫海春,单位:国家电网公司北京电力医院心内科 北京;
目的 经外周静脉穿刺中长导管,为心力衰竭患者提供输液治疗。方法 在最大无菌化原则下,经心力衰竭患者的贵要静脉穿刺,导管前端位于患者锁骨下静脉,无菌敷料贴敷,7天给予导管维护一次,有异常随时给予换药,过程中观察有无并发症,及时给予处理。结果 60例患者中,留置时间:2-28天,其中穿刺点出血2例,意外拔管2例,结论 中长导管具有留置时间长,有效地保护血管,可以在心力衰竭患者中应用。
Objective: To provide infusion therapy for patients with heart failure through peripheral venipuncture of medium length catheter. Methods: under the principle of maximum bacterialization, the catheter was placed in the patient's subclavian vein at the front of the catheter, and sterile dressing was applied. The catheter was maintained once every 7 days, and the dressing was changed at any time if there was any abnormality. Results: among the 60 patients, the indwelling time was 2-28 days, including 2 cases of puncture site bleeding and 2 cases of accidental extubation.
[1] 孙红,王蕾等全国部分三级甲等医院静脉治疗护理现状分析[j].中华护理杂志,2014.(49):1232-1237
[2] Nancy Moureau R N, Vineet Chopra M D. Indications for peripheral, midline and centralcatheters: summary of the Michigan Appropriateness Guide for Intravenous Catheters Reco mmendations, Journal of the Association for Vascular Access, 2016, 25(3): 140-148.
[3] DebraL. Wiegand. AACN Procedure Manual for High Acuity, Progressive, and Critical Care, Procedure 86, 758-765.
[4] Hagle M E, Mikell M. Peripheralvenousaccess. In: Weinstein S M, Hagle M E, eds. Plumer's Principles and Practice of Infnsion Therapy. 9 thed. Philadelphia, PA: Wolters Kluwer/ Lippincott Williams Wilkins; 2014: 303-334
[5] 李春燕,李庆印等静脉中等长度导管临床应用专家共识2019.9 1
[6] 邹晓春,何金爱,宋燕怜.252例留置静脉中长导管病人的调查分析[J]护理学报.2016.23(20):48-50
[7] 吕云霞. 优质护理服务对慢性心力衰竭患者的影响 [J]. 齐鲁护理杂志 ,2013,1(23):109-110.
[8] 卢莉,汤翠.分区管理模式在门诊输液室的应用[J].护理实践与研究,2016,13(12):154-155.
[9] 王建荣. 输液治疗护理实践指南与实施细则 [M]. 北京:人民军医出版社, 2009:10
[10] 谢琴. 浅谈老年人发生冠心病心力衰竭的诱因及对其进行护理的方法[J].当代医药论存,2016.14(7)50-51
[11] 顾春芳,李丽娟. 集束化干预策略在外周静脉留置针安全管理中的应用[J]. 当代护士(上旬刊), 2016, 23(2): 122-124.
[12] 胡明明,沈小芳,顾平,等. 国外中等长度导管的应用研究及启示[J]. 护理学报,2015,22(12):33-35.
[13] 薛圣萍汪琼程喜荣126 例静脉留置中长导管患者的应用分析[J]当代护士2019.8(26)141-142
[14] 德吉卓玛优质护理在老年慢性心力衰竭患者中的应用效果研究[J]. 临床护理2014.1.218-219
[15] 刘慧林张金华肖娟王晔琳老年住院患者静脉输液工具使用现状调查与分析CHINA HEALTH STANDARD MANAGEMENT, Vol.9, No.2.144-145