脑卒中患者股静脉置管术的临床应用及护理

Clinical application of femoral veinous indwelling catheter in cerebral aoplexy patients and related nursing,

目的 :预防和减少 2 0 %甘露醇、 30 %脂肪乳剂等输液时致静脉炎及渗漏性损伤的发生 ,提高脑卒中患者的抢救成功率。方法 :对 10 4例脑卒中患者行股静脉置管术。结果 :10 4例均获成功。 1例置管口处瘙痒、发红 ,拔管后症状消失 ,静脉炎和渗漏性损伤的发生率为 0 ,无 1例因置管发生感染、局部血肿及静脉血栓等 ,拔管后伤口愈合良好。结论 :术者熟练掌握局部解剖位置和操作要领是置管成功的前提 。

Objective:To prevent incidence of phlebitis and leakage injury induced by 20% manitol,30% lipomul,improve successful rescue rate of cerebral apoplexy patients Method:We have undergone femoral veinous indwelling catheter treatment upon 104 cerebral apoplexy patients Re^sult:All succeded in indwelling catheter,only 1 case with itching and redness near the orifice,relieved after removal of catheter There is no phlebitis or leakage of medicine,no infection and hematoma or thrombosis,all incision healed Conclusion:Its the crux for the operators to know regional anatomy and manipulation key points,antisepsis and positive pressure closure of tube