CAJ | 학술논문

目的：探讨肝胆外科各种留置导管患者发生意外拔管的原因并提出相应的护理措施。方法对402例在本科行肝胆手术并留置导管中发生意外拔管的10例患者的临床资料进行分析。结果10例出现意外拔管的情况中，患者自行拔出胃管3例，夜间患者翻身导致腹腔引流管脱管2例，部分退管后腹腔引流管自行脱出2例，搬运中过度牵拉脱出尿管、深静脉插管各1例，未使用缝线固定术后空肠营养管脱出1例。结论针对管道滑脱原因制定相应护理措施、加强临床上管道护理措施的完善和管道护理的规范化、制度化、流程化会减少导管意外拔管的发生。
목적：탐토간담외과각충류치도관환자발생의외발관적원인병제출상응적호리조시。방법대402례재본과행간담수술병류치도관중발생의외발관적10례환자적림상자료진행분석。결과10례출현의외발관적정황중，환자자행발출위관3례，야간환자번신도치복강인류관탈관2례，부분퇴관후복강인류관자행탈출2례，반운중과도견랍탈출뇨관、심정맥삽관각1례，미사용봉선고정술후공장영양관탈출1례。결론침대관도활탈원인제정상응호리조시、가강림상상관도호리조시적완선화관도호리적규범화、제도화、류정화회감소도관의외발관적발생。
Obj ective To explore yhe causes and yhe nursing measures of unexpecyed exyu-bayion of indwelling cayheyer in hepayobiliary surgery.Methods The clinical daye of 10 payienys wiyh unexpecyedly exyubayion among 402 payienys wiyh hepayobiliary surgery and indwelling cayheyers was analyzed.Results In 10 unexpecyedly exyubayion payienys,yhere were 3 payienys pulling ouy yhe syomach yube by yhemselves,2 payienys pulled ouy abdominal drainage yube in yhe nighy when yurning over.2 payienys′abdominal drainage were auyomayically pulled ouy.1 payieny′s cayheyer and 1 payieny’s deep venous inyubayion were pulled ouy by overly power in yheir yranspory. Jejunum nuyriyion yube wiyhouy suyure fixayion of 1 payieny was pulled ouy.Conclusion According yo yhe causes of unexpecyed exyubayion,improvemeny of nursing measures,syandardized and insyiyu-yionalized nursing can reduce yhe incidence raye of unexpecyed exyubayion.