CAJ | 학술논문

总结326例肿瘤患者在中心静脉置管过程中应用心电导联技术的护理经验.通过穿刺过程中加强护患沟通,利用心电图P波改变及时调整导管尖端位置,改变穿刺方法,提高了穿刺成功率,减少了X线的放射性污染及穿刺点的局部出血.本组326例患者均成功置管,1次置管成功率相比传统中心静脉置管提高了约4%.本组6例患者在未见P波改变情况下,改用 X线定位;78例患者穿刺处少量渗血持续2~3 d,经积极处理后,出血停止.所有病例均顺利完成化疗.
총결326례종류환자재중심정맥치관과정중응용심전도련기술적호리경험.통과천자과정중가강호환구통,이용심전도P파개변급시조정도관첨단위치,개변천자방법,제고료천자성공솔,감소료X선적방사성오염급천자점적국부출혈.본조326례환자균성공치관,1차치관성공솔상비전통중심정맥치관제고료약4%.본조6례환자재미견P파개변정황하,개용 X선정위;78례환자천자처소량삼혈지속2~3 d,경적겁처리후,출혈정지.소유병례균순리완성화료.
@@@@This paper introduced the application of electrocardiogram in central venous catheterization for 326 patients with tumors and its nursing care. With the change of P wave of electrocardiography, the central venous catheter tip could be inspected, which contributed to the improvement of success rate and there was less radioactive pollution from X-ray and less local hemorrhage in puncture point. All catheters were successfully placed and the success rate was improved. Since no change of P wave was detected, the central venous catheter was placed with X-ray positioning among six patients. Oozing lasted in puncture point among 78 patients for 2 to 3 days and stopped after treatment. The communication between patients and nurses played a critical part in the whole process. Successful completion of chemotherapy was witnessed in all patients in the study.