创伤失血性休克锁骨下静脉置管感染与留置时间的相关性研究

A research of subclavian venous catheter infection with indwelling time in traumatic hemorrhagic shock patients

目的探讨创伤失血性休克患者锁骨下静脉置管发生相关性感染的原因及防治措施。方法收集创伤失血性休克患者留置锁骨下静脉导管的临床资料,按置管时间长短分析各组感染率及感染菌株。结果 336例患者锁骨下静脉置管平均时间4.3d,其中27例发生感染,感染率为8.04%。经积极治疗后所有患者均治愈出院,无死亡病例。结论创伤失血性休克患者行锁骨下静脉置管是安全、有效的,针对其感染危险因素,改善治疗及临床护理,缩短置管时间,可以有效防止置管感染。

Objective To investigate the causes and preventive measures of subclavian venous catheter-related infections occurred in traumatic hemorrhagic shock patients.Methods 336 traumatic hemorrhagic shock patients indwelling subclavian vein catheter was included to explore the causes and treatment of catheter-related infections.The outcome was infect rate and strains distrubtion.Results Of 336 patients with subclavian vein catheterization average time was 4.3 days,including 27 cases of infection,and the infection rate was 8.04%.All patients were discharged after active treatment,with no deaths.Conclusion Traumatic hemorrhagic shock patients with subclavian vein catheter are safe and effective.Risk factors for infection,improve treatment and patient care,shorten the time of catheter,can effectively prevent catheter infections.