人工肝治疗患者股静脉置管112例护理体会

Nursing of 112 Cases Receiving Artificial Liver Treatment With Catheterization of Femoral Vein

目的探讨股静脉置管的护理措施,以保障人工肝治疗顺利进行。方法总结人工肝治疗患者进行股静脉置管的护理经验。结果 112例行人工肝治疗患者股静脉置管的留置时间为3 20 d,平均留置时间为13.21 d。股静脉置管共发生不良反应32例(28.57%),其中渗血20例,误入股动脉8例,血肿2例,导管脱落1例,晕针1例。无1例发生感染、下肢静脉血栓、空气栓塞等严重不良反应。结论合理的护理干预能够降低股静脉置管的不良反应发生,有利于保障人工肝治疗顺利进行。

Objective To discuss the nursing for the patients with catheterization of femoral vein and ensure artificial liver treatment. Methods The nursing of the patients with catheterization of femoral vein in artificial liver treatment was evaluated. Results A total of 112 patients treated by artificial liver support system were analyzed. The catheterization of femoral vein were detained for 3 -20 days （average 13.21 days）. Thirty two cases （28.57%） had adverse reactions, including hemorrhage（20 cases）, piqureing into arteria eruralis （8 cases） , haematoma （2 cases） , catheter ablat （ 1 case） and acupuncture syncope （ 1 case）. No serious adverse reaction occurred. Conclusion Nursing could effectively reduce the rate of adverse reactions in catheterization of femoral vein and facilitate the artificial liver treatment.