摘要
目的：探讨深静脉置管在低血容量休克抢救中的运用及护理体会。方法：选择不同病因的低血容量休克患者66例，在抢救过程中使用深静脉置管术。术后导管的维持主要依靠精心的护理及并发症的预防与积极处理。结果：66例患者在滴注中，1例发生导管源性感染，2例发生导管堵塞，经试通无效被迫拔管，均发生在深静脉置管的初期阶段，无血栓栓塞事件发生。结论：深静脉置管可以为成功抢救低血容量休克赢得时间。只有充分认识深静脉置管术的特点，并根据术后不同阶段的病理生理特点采取适当的护理策略，才能尽最大可能减少术后的并发症，达到最理想的治疗目的。
Objective To study the deep venous catheter in the emergency treatment of hemorrhagic shock in the use and nursing. Methods of different etiology in patients with hypovolemic shock, 66 cases were used in the rescue process of deep vein catheterization. Mainly depend on the maintenance of catheter after careut care and prevention of complications and actively addressed. Results in the infusion in 66 patients, 1 case of catheter--borne infections, two cases of catheter blockage occurred, was forced by the test pass invalid extubation, all occurred in the deep venous catheter in the early stages, no thromboembolic events. Conclusion of deep venous catheter can be successfully rescued gain time to hemorrhagic shock. Only by fully understanding of deep venous eannulation characteristics, and according to different stages of the pathophysiology of postoperative characteristics of appropriate care strategies, to the maximum extent possible to reduce postoperative complications and achieve optimal therapeutic purposes.
