浅谈静脉导管治疗恶性胸腔积液中的临床护理体会

Clinical Nursing Experience On Venous Catheters in the Treatment of Malignant Pleural Effusion

目的:探讨中心静脉导管治疗恶性胸腔积液的治疗及护理方法。方法选取72例恶性胸腔积液患者为研究对象,全部采用中心静脉导管行胸腔留置作闭式引流,由中心静脉导管向胸腔内注入生物制剂及化疗药物,以达到治疗的目的。总结静脉导管治疗恶性胸腔积液中的护理措施。结果72例患者均一次性穿刺置管成功,成功率100%。引流出胸腔积液1100~6800ml,平均4200ml。 CR63例,PR9例,疗效可靠。优质护理干预可提高治疗成功率。结论静脉导管治疗恶性胸腔积液操作简单,不良反应少,易于护理,安全高效,有较高的推广价值。

Objective:To investigate the treatment and nursing methods of central venous catheter in the treatment of malignant pleural ef usion.Methods:72 patients with malignant pleural ef usion patients as the research object,al of the thoracic cavity central venous catheter indwel ing for closed drainage by central venous catheter,the intrapleural injection of biological agents and chemotherapy drugs,in order to achieve the purpose of treatment.Summary of venous catheter in the treatment of malignant pleural ef usion in nursing measures.Results:72 patients taken one-time puncture success,the success rate of 100%.Drainage of pleural ef usion 1100~6800ml,average 4200ml.CR63 cases,PR9 cases,the curative ef ect is reliable.High quality nursing intervention can improve the success rate of treatment.Conclusion:intravenous catheter in the treatment of malignant pleural ef usion has the advantages of simple operation,less adverse reaction,easy care,safety and high ef iciency,and has high popularization value.