门急诊首次静脉穿刺失败650例临床分析

Clinical analysis of first venous puncture failure on 650 cases in outpatient and emergency services

目的:探讨门急诊首次静脉穿刺失败650例的原因。方法:2010年1月1日-12月31日收治静脉输液患者75 200例,首次穿刺失败650例,对这些穿刺失败患者进行统计分析。结果:穿刺失败患者中儿童596例(91.7%),老年患者(>60岁)33例(5%),其余21例(3.3%)。因为护士操作技术因素导致失败97例(15%),患者因素390例(60%),其他因素163例(25%)。冬季(10-12月)首次穿刺失败患者254例(39.1%),前3个季度396例(60.9%)。结论:根据不同条件、不同患者、不同季节选择不同的方法,可使静脉穿刺的成功率极大地提高。

Objective:To investigate the reasons of first venous puncture failure on 650 cases in outpatient and emergency.Methods:75 200 patients with intravenous infusion were selected from January to December 2010,and we statistical analysis of those 650 cases who were first puncture failed.Results:There were 596 cases of children among those first puncture failure patients(91.7%),and 62 cases were elderly(over 60 years) patients(5%),and other 22 cases(3.3%).97 cases(15%) failure belong to the operation technical factors of nurse;390 cases(60%) were attribute to the patient himself;163 cases of failure casued by other factors(25%).In winter(October to December),there 254 patients were first puncture failed(39.1%),and 396 cases occurred in other3 seasons(60.9%).Conclusion:If we choose different method of vein puncture according to the conditions,patients and seasons,the success rate can improve greatly.