肾移植术后导致静脉炎的原因分析与对策

Analysis on the Cause of Phlebitis Occurrence after Kidney Transplantation and the Countermeasure

目的 探讨肾移植术后发生静脉炎的相关因素 ,采取相应的护理措施。方法 对肾移植术后 12例发生静脉炎的病例进行分析。结果 肾移植术后发生静脉炎与穿刺部位、留置时间长短、输入刺激性药物有关。结论 严格无菌操作 ,熟练掌握穿刺技术 ,在输入高渗液体或刺激性药物后静滴生理盐水 2 0ml;输入多组液体时 ,将高渗或刺激性药物顺序提前 ,可减少或避免静脉炎发生。

Objective To discuss the relative factors for the occurrence of phlebitis after kidney transplantation and the countermeasure in nursing.Methods 12 cases of phlebitis after kidney transplantation were analyzed.Results The occurrence of phlebitis was related to puncture site,retaining time and the transfusion of irritative drugs.Conclusions The performance should be strictly sterilized,with skillful puncturing;intravenous drip of 20 ml of normal saline should be given after transfusing hypertonic fluid or irritative drugs;among several groups of fluid,the hypertonic or irritative should be transfused earlier,thus the occurrence of phlebitis might be decreased or prevented.