CAJ | 학술논문

目的探讨有机磷农药中毒患者使用留置针发生静脉炎原因及防范措施。方法回顾性分析我院2009-2011年有机磷农药中毒患者使用留置针发生静脉炎的相关因素及防范措施，并对采取防范措施后的效果进行比较。结果药物性质、病人病情、穿刺部位、穿刺技术、药物推注速度等均与静脉炎发生有明显关系，采取相应防范措施后发生率明显降低。结论有机磷农药中毒患者使用留置针应每天动态评估血管状态，合理选择穿刺部位，严格消毒规范，提高穿刺技术，使用阿托品前后进行冲管，合理安排给药速度，烦躁病人适当镇静、约束及加强健康宣教，可有效避免静脉炎的发生。
목적탐토유궤린농약중독환자사용류치침발생정맥염원인급방범조시。방법회고성분석아원2009-2011년유궤린농약중독환자사용류치침발생정맥염적상관인소급방범조시，병대채취방범조시후적효과진행비교。결과약물성질、병인병정、천자부위、천자기술、약물추주속도등균여정맥염발생유명현관계，채취상응방범조시후발생솔명현강저。결론유궤린농약중독환자사용류치침응매천동태평고혈관상태，합리선택천자부위，엄격소독규범，제고천자기술，사용아탁품전후진행충관，합리안배급약속도，번조병인괄당진정、약속급가강건강선교，가유효피면정맥염적발생。
Objective:To investigate the organophosphorus pesticide poisoning patients the catheter phlebitis causes and prevention Measures.Method:Retrospective analysis ofhospital 2009-2011 organophosphorus pesticide poisoning patients the catheter phlebitis related factors and preventive Measures,and to take preventive Measures after the effects were coMpared. Results:Nature of drugs,patient condition,the site of puncture,puncture technique,drug injection speed,etc.and phlebitis clearly related to take appropriate preventive Measures significantly reduced the incidence of.Conclusion:Organophosphorus pesticide poisoning patients with indwelling need to assess dynaMic assessMent of vascular status daily,the puncture site should be a reasonable choice,strict disinfection norMs,iMprove the puncture technique,the use of atropine before and after washing pipe,reasonable arrangeMents for the adMinistration of speed,appropriate sedation of agitated patients,constraintsand strengthenhealth education,which can effectively avoid the occurrence of phlebitis.