医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
19期
44-44,45
,共2页
外周静脉%留置针%加压输液%肢体肿胀
外週靜脈%留置針%加壓輸液%肢體腫脹
외주정맥%류치침%가압수액%지체종창
Peripheral vein%remaining needle%infusion pressor%limb sweling
目的探讨患者外周静脉留置针加压输液导致肢体肿胀的原因及处理措施。方法研究我院CCU 2011年1月-2012年8月发生外周静脉留置针加压输液时肢体发生肿胀的48例患者的资料进行分析。结果加压输液时留置针最长保留4个小时,最短保留1个小时,加压输液的肢体肿胀便会出现,给予及时的处理,两到三天内肿胀肢体即可恢复。结论外周静脉留置针加压输液组比外周静脉留置针静脉泵推注组易导致肢体肿胀,差异具有统计学意义(P<0.05)。非抢救时外周静脉不做加压输液,抢救成功后应尽快建立中心静脉加压输液,缩短外周静脉加压输液的时间,并预防性和针对性的采取保护措施,严格执行无菌操作,加强巡视。
目的探討患者外週靜脈留置針加壓輸液導緻肢體腫脹的原因及處理措施。方法研究我院CCU 2011年1月-2012年8月髮生外週靜脈留置針加壓輸液時肢體髮生腫脹的48例患者的資料進行分析。結果加壓輸液時留置針最長保留4箇小時,最短保留1箇小時,加壓輸液的肢體腫脹便會齣現,給予及時的處理,兩到三天內腫脹肢體即可恢複。結論外週靜脈留置針加壓輸液組比外週靜脈留置針靜脈泵推註組易導緻肢體腫脹,差異具有統計學意義(P<0.05)。非搶救時外週靜脈不做加壓輸液,搶救成功後應儘快建立中心靜脈加壓輸液,縮短外週靜脈加壓輸液的時間,併預防性和針對性的採取保護措施,嚴格執行無菌操作,加彊巡視。
목적탐토환자외주정맥류치침가압수액도치지체종창적원인급처리조시。방법연구아원CCU 2011년1월-2012년8월발생외주정맥류치침가압수액시지체발생종창적48례환자적자료진행분석。결과가압수액시류치침최장보류4개소시,최단보류1개소시,가압수액적지체종창편회출현,급여급시적처리,량도삼천내종창지체즉가회복。결론외주정맥류치침가압수액조비외주정맥류치침정맥빙추주조역도치지체종창,차이구유통계학의의(P<0.05)。비창구시외주정맥불주가압수액,창구성공후응진쾌건립중심정맥가압수액,축단외주정맥가압수액적시간,병예방성화침대성적채취보호조시,엄격집행무균조작,가강순시。
Objective To explore the reason and treatment measures of limb sweling by infusion pressor on patients’ peripheral vein remaining needle. Methods Analysis the data of 48 limb sweling patients lead by infusion pressor on patients’ peripheral vein remaining needle during 2011.1-2012.8 in CCU of our hospital. Results The remaining needle could be reserved 1 to 4 hours the infusion pressor limb come to sweling when pressure infusion. The sweling limb restored after treatment timely in 2-3 days .Conclusion The group infusion pressor by remaining needle on peripheral vein are more likely to result limb sweling than vein pump push by remaining needle on peripheral vein, they have a statisticaly significant difference (P < 0.05). Don't pressure infusion on peripheral vein when no rescue, and we should established the central venous channel as soon as possible after successful rescue. Shorten the time infusion pressor on peripheral vein, and take preventive and pertinence protective measures, strictly implement aseptic operation, enhance perambulation.