结核性心包炎行中心静脉导管引流的整体护理

Holistic Nursing Care of Tuberculosis Pericarditis Central Venous Catheter Drainage

目的:总结结核性心包炎行中心静脉导管引流的整体护理经验,提高护理质量,减少并发症发生。方法:对我院接诊的11例以心包填塞为首发症状的结核性心包炎患者实施中心静脉导管引流术并心包腔内注射尿激酶、异烟肼、阿米卡星等药物配合全身抗痨治疗,整个治疗过程护理人员给予精心的全程护理。结果:经过治疗及护理所有病人入院时症状均消失,置管一次性成功,无并发症发生,无缩窄性心包炎发生,患者均能积极的配合治疗及护理,取得满意效果。结论:中心静脉导管引流术治疗结核性心包炎效果可靠,治疗过程中配合精心的全程护理,可取得满意效果。

Objective： to summarize the overa/1 nursing experience of tuberculosis pericarditis central venous catheter drainage, improve the quality of nursing and reduce complications. Methods： apply central venous catheter drainage to 11 patients with tuberculosis periearditis and inject urokinase, isoniazid and amicacin in pericardia/cavity. Nurses take elaborate care in the whole course. Results： after treatment and nursing, symptoms of patients disappear; insertion is success at one time; no complications and constrictive pericarditis occur; the patients can actively cooperate with treatment and nursing. The results are positive. Conclusion： the central venous catheter drainage is reliable in treating tuberculous pericarditis; supported with elaborate care in the course of treatment, the treatment effect is satisfied.