中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
121-122
,共2页
门急诊%首次静脉穿刺%失败原因
門急診%首次靜脈穿刺%失敗原因
문급진%수차정맥천자%실패원인
Outpatient and emergency services%First vein puncture%The causes of the failure
目的:探讨门急诊首次静脉穿刺失败650例的原因。方法:2010年1月1日-12月31日收治静脉输液患者75200例,首次穿刺失败650例,对这些穿刺失败患者进行统计分析。结果:穿刺失败患者中儿童596例(91.7%),老年患者(>60岁)33例(5%),其余21例(3.3%)。因为护士操作技术因素导致失败97例(15%),患者因素390例(60%),其他因素163例(25%)。冬季(10-12月)首次穿刺失败患者254例(39.1%),前3个季度396例(60.9%)。结论:根据不同条件、不同患者、不同季节选择不同的方法,可使静脉穿刺的成功率极大地提高。
目的:探討門急診首次靜脈穿刺失敗650例的原因。方法:2010年1月1日-12月31日收治靜脈輸液患者75200例,首次穿刺失敗650例,對這些穿刺失敗患者進行統計分析。結果:穿刺失敗患者中兒童596例(91.7%),老年患者(>60歲)33例(5%),其餘21例(3.3%)。因為護士操作技術因素導緻失敗97例(15%),患者因素390例(60%),其他因素163例(25%)。鼕季(10-12月)首次穿刺失敗患者254例(39.1%),前3箇季度396例(60.9%)。結論:根據不同條件、不同患者、不同季節選擇不同的方法,可使靜脈穿刺的成功率極大地提高。
목적:탐토문급진수차정맥천자실패650례적원인。방법:2010년1월1일-12월31일수치정맥수액환자75200례,수차천자실패650례,대저사천자실패환자진행통계분석。결과:천자실패환자중인동596례(91.7%),노년환자(>60세)33례(5%),기여21례(3.3%)。인위호사조작기술인소도치실패97례(15%),환자인소390례(60%),기타인소163례(25%)。동계(10-12월)수차천자실패환자254례(39.1%),전3개계도396례(60.9%)。결론:근거불동조건、불동환자、불동계절선택불동적방법,가사정맥천자적성공솔겁대지제고。
Objective:To investigate the reasons of first venous puncture failure on 650 cases in outpatient and emergency. Methods:75 200 patients with intravenous infusion were selected from January to December 2010,and we statistical analysis of those 650 cases who were first puncture failed.Results:There were 596 cases of children among those first puncture failure patients(91.7%),and 62 cases were elderly(over 60 years) patients(5%),and other 22 cases(3.3%).97 cases(15%) failure belong to the operation technical factors of nurse;390 cases(60%) were attribute to the patient himself;163 cases of failure casued by other factors(25%).In winter(October to December),there 254 patients were first puncture failed(39.1%),and 396 cases occurred in other 3 seasons(60.9%).Conclusion:If we choose different method of vein puncture according to the conditions,patients and seasons,the success rate can improve greatly.