脉搏指示连续心输出量监测在严重腹腔感染患者中的应用及护理

Application and nursing of pulse indicator continuous cardiac output monitoring in patients with severe abdominal infection

目的对严重腹腔感染患者留置PICCO导管的护理方法及护理效果进行回顾性分析。方法选取2015年3月—2016年1月间本院中心ICU收治的42例严重腹腔感染患者,在常规治疗及护理的基础上留置PICCO导管作为监测手段,总结PICCO导管相关护理的有效经验。结果本组42例PICCO导管发生导管堵塞率为7.1%、导管相关性感染率为4.8%、穿刺点渗血率为4.8%,未出现下肢动脉栓塞、血肿形成及脱管等并发症。结论在严重腹腔感染患者的血容量监测指标的应用中,PICCO监测指标比传统的血容量监测指标,在预防和减少并发症的发生、改善病情预后方面效果更为显著,在临床应用中具有重要意义。

Objective To retrospectively analyze the nursing methods and effects of indwelling PICCO catheter in patients with severe abdominal infection.Methods 42 patients with severe abdominal infection admitted to ICU of our hospital from March 2015 to January 2016 were selected and indwelled with PICCO catheter as monitoring means on the basis of routine treatment and nursing.The effective experience of PICCO catheter related nursing was summarized.Results The incidence of PICCO catheter occlusion was 7.1%,the catheter-related infection rate was 4.8%,and the puncture point bleeding rate was 4.8%.There were no complications such as lower extremity arterial embolism,hematoma formation and decannulation.Conclusion Compared with traditional blood volume monitoring indicators,PICCO monitoring indicators are more effective in preventing and reducing complications and improving the prognosis of patients with severe abdominal infection,which is of great significance in clinical application.