CAJ | 학술논문

目的：分析CT增强时静脉穿刺困难的原因并探讨有效的解决方法。方法对2006年1月~2012年1月在我院作 CT增强时静脉穿刺困难者507例进行回顾性分析，探讨其原因及护理对策。结果507例患者均成功地进行了静脉穿刺，其中引起静脉穿刺困难的主要原因是长期静脉用药，所占比例为86.6%，包括化疗用药、注射毒品等；部分为水肿、局部淤点淤斑、躁动不合作、休克、危重患者，所占比例为13.4%。成功穿刺静脉时选择周围静脉504例，所占比例为99.4%，选择颈外静脉穿刺3例，占0.6%。结论笔者认为解决在CT增强时静脉穿刺困难的方法是：护土能灵活使用选择静脉血管的临床路径和熟练的静脉穿刺的方法和技巧，还要有独辟蹊径的思维方法。
목적：분석CT증강시정맥천자곤난적원인병탐토유효적해결방법。방법대2006년1월~2012년1월재아원작 CT증강시정맥천자곤난자507례진행회고성분석，탐토기원인급호리대책。결과507례환자균성공지진행료정맥천자，기중인기정맥천자곤난적주요원인시장기정맥용약，소점비례위86.6%，포괄화료용약、주사독품등；부분위수종、국부어점어반、조동불합작、휴극、위중환자，소점비례위13.4%。성공천자정맥시선택주위정맥504례，소점비례위99.4%，선택경외정맥천자3례，점0.6%。결론필자인위해결재CT증강시정맥천자곤난적방법시：호토능령활사용선택정맥혈관적림상로경화숙련적정맥천자적방법화기교，환요유독벽혜경적사유방법。
Objective: To analyze the reason of venipuncture dif icult in CT enhanced scan and expore the ef ective solving method. Methods: Retrospective analysis the 507 patients who with the venipuncture dif icult in CT enhanced scan from January 2006 to January 2012. Discuss the reason and the nursing strategy. Results: The 507 patients were successful y venipunctured. One of the main reason which caused by venipuncture dif icult was a long history of intravenous drug use, this account of the proportion of 86.6, including chemotherapy drugs, injection drug, etc. The other reasons were edema, local petechiae ecchymosis, restless not cooperation, shock and critical y il patient, the proportion was 13.4. 504 patients Successful punctured when choose of the peripheral vein, wich account of 99.4. While 3 patients choose of the external jugular vein, wich account of 0.6. Conclusions: The solving method of the venipuncture dif icult in CT enhanced scan were the flexible choice of a vein of clinical pathway, skil ed vein puncture method and technique, and the unique thinking method.