100例颈外静脉穿刺置管在颅脑外伤患者中的研究

100 cases of jugular vein catheterization in patients with traumatic brain injury research

目的:探讨颈外静脉穿刺置管在在颅脑外伤患者中的应用。方法:将200例颅脑外伤患者随机分成2组,每组100例,观察组通过颈外穿刺静脉留置针建立静脉通道应用甘露醇,对照组通过四肢其他部位穿刺静脉留置针建立静脉通道应用甘露醇。结果:观察组100例患者中97例为一次性穿刺成功,3例为二次穿刺成功,应用甘露醇后留置针置管时间为5天,未发生局部药物外渗。对照组100例患者中95例为一次性穿刺成功,应用甘露醇后留置针置管时间为3天,发生局部药物外渗2例。结论:在颅脑外伤患者中应用颈外静脉留置针建立静脉通道应用甘露醇发生输液溶液外渗的机率明显低于四肢其他部位,置管时间相对其他部分长,能减少反复穿刺造成的痛苦,减轻了护士的工作量,值得临床推广。

Objective：To explore the external carotid venipuncture catheter cerebral trauma in the application.Methods：200 patients with craniocerebral trauma patients will randomly divided into two groups,each group of 100 examples,the observation group through the external carotid puncture veins lien needle establish intravenous route application mannitol,controls through other parts retained limbs vein needle biopsy established intravenous route application mannitol.Results：the observation group 100 patients for one-time puncture 97 patients,3 cases of second puncture,applied mannitol retained catheter time after needle for five days,and did not happen local drug leakage.The control group in 100 patients 95 cases for one-time puncture,applied mannitol retained catheter time after needle for 3 days,local drug leakage occurred in 2 cases.Conclusions：in patients with craniocerebral trauma application of external carotid vein needle establish intravenous route retained infusion solution applied mannitol occur probability of leakage significantly lower limbs catheter time other parts,relative to other part long,can reduce the pain caused by repeated puncture,reduced the nurse workload,worth clinical promotion.