ARROW中心静脉导管在肝癌病人合并胸腔积液引流中的应用及护理

Application of ARROW central venous catheter in drainage for liver cancer patients complicated with pleural effusion and nursing care of them

[目的]探讨ARROW单腔中心静脉导管在肝癌病人合并胸腔积液引流中的应用及护理。[方法]对62例肝癌病人合并胸腔积液需行胸腔穿刺放液的病人应用ARROW中心静脉导管代替传统的胸腔穿刺放液、抽液,观察其疗效、并发症,并对整个细致有效的护理过程进行总结。[结果]本组62例病人均1次置管成功,导管留置时间为3d～21d,未发生导管相关性感染、导管阻塞及导管脱出等并发症,置管引流后胸腔积液逐渐减少,病人呼吸困难、胸闷、心悸、气促、咳嗽等症状明显改善,病情得到缓解。[结论]本组应用ARROW单腔中心静脉导管引流胸腔积液,无继发感染、血气胸等并发症发生,做好穿刺点的护理,预防感染是保证置管引流成功的关键。

Objective： It probed into application of ARROW mono- chamber central venous catheter in drainage for liver cancer patients complicated with pleural effusion and nursing care of them. Methods： A total of 62 liver cancer patients complicated with pleural effusion and required thoracentesis were applied ARROW central venous catheter to replace the traditional way of pleural cavity puncture and liquid drainage. The curative effect and complications of all patients had been observed. And it summarized the whole process of meticulous and effective nursing care. Results： All 62 patients were successful placement by once puncture. The indwelling time of catheter was 3 days to 21 days. No one had the incidence of complications such as catheter - related infections, catheter obstruction and fall - off of catheter and so on. After catheter drainage,pleural effusion of patients gradually reduced. Symptoms such as dyspnea, chest tightness, palpitations, shortness of breath, cough of patients had improved significantly. And illness conditions of them had relieved. Conclusion： To apply ARROW mono -chamber central venous catheter in drainage for liver cancer patients complicated with pleural effusion has no secondary infection, hemopneumothorax,and other complications. To provide good nursing on the puncturing point and to prevent infections are the keys to ensure the success of drainage by detaining catheter.