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研讨有关实施PICC置管在护理治疗中的积极意义 被引量:2
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作者 张秀华 《中外妇儿健康(学术版)》 2011年第7期367-368,共2页
目的:实施PICC置管,彰显护理人文关怀理念,对预防医院交叉感染,减轻多次静脉穿刺造成患者痛苦有其积极的临床意义。适应症:目测外周静脉条件差、穿刺难的患者,避免化疗药物外渗造成血管硬化、堵塞、局部皮下组织坏死。方法对常规PICC置... 目的:实施PICC置管,彰显护理人文关怀理念,对预防医院交叉感染,减轻多次静脉穿刺造成患者痛苦有其积极的临床意义。适应症:目测外周静脉条件差、穿刺难的患者,避免化疗药物外渗造成血管硬化、堵塞、局部皮下组织坏死。方法对常规PICC置管失败及目测外周静脉血管差的患者,采取B超探测肘部血管直径、走向、弹性,引导穿刺针进入拟穿刺血管并置入导管。结果选择常规PICC失败及肉眼目测外周静脉血管条件差的患者87例,实验组:63例(含常规PICC置管失败者4例),此法穿刺成功62例,成功率98.41%。对照组:24例在目测条件下常规穿刺成功13例,成功率54.17%,失败11例,其中10例转麻醉科行锁骨下或颈外静脉穿刺置管(CVC),经统计学处理P<0.01。结论研究B超探测肘部血管直径、走向与PICC置管成功之间的关系,进而判断、指导实施PICC置管,避免了穿刺盲目性,提高置管成功率,建立患者生命保障线,并节流医资。 展开更多
关键词 B超探测 置管标准 PICC 输液
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B超探测肘部血管直径、走向与常规PICC穿刺失败后再次置管成功之间的关系研究 被引量:1
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作者 张秀华 《医学信息》 2012年第11期145-145,共1页
目的为了提高常规外周静脉穿刺中心静脉置管(PICC)失败后再次置管的成功率,为肉眼目测外周静脉条件差用常规方法难以穿刺成功的患者实施PICC置管。方法对常规PICC置管失败及肉眼目测外周静脉血管条件差的患者。采取B超探测肘部血管... 目的为了提高常规外周静脉穿刺中心静脉置管(PICC)失败后再次置管的成功率,为肉眼目测外周静脉条件差用常规方法难以穿刺成功的患者实施PICC置管。方法对常规PICC置管失败及肉眼目测外周静脉血管条件差的患者。采取B超探测肘部血管直径、走向、弹性,引导穿刺针进入拟穿刺血管并置入导管。结果研究B超探测肘部血管直径、走向与PICC置管成功之间的关系.进而判断、指导实施PICC置管,避免了常规穿刺的盲目性,结论扩大了PICC的应用范围,最大限度地避免了医疗资源的浪费。 展开更多
关键词 B超探测 置管标准 PICC 肉眼目测 关系
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Monitoring and Analysis of SPM of an Industrial Town of Punjab (India)
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作者 K.M. Susheel G. Krunesh S. Nirankar 《Journal of Environmental Science and Engineering》 2010年第6期31-37,共7页
Suspended particulate matter (SPM) levels in ambient air were monitored at Mandi Gobindgarh, an industrial town of Punjab, India located on the National Highway-1 during November 2001 to March 2002 covering spring a... Suspended particulate matter (SPM) levels in ambient air were monitored at Mandi Gobindgarh, an industrial town of Punjab, India located on the National Highway-1 during November 2001 to March 2002 covering spring and winter seasons to check the variation of SPM and its constituents in the town. The maximum levels of SPM varied between 594 μg/m^3 to 620 μg/m^3 at selected monitoring sites while the minimum levels varied between 209μg/m^3 to 220 μg/m^3. These values were observed always above the National Ambient Air Quality Standards (NAAQS) set by the State regulatory body. Major sources of SPM were identified as the industrial activity and traffic plying on the national highway. Collected SPM samples were further analyzed for the ignitable matter as loss on ignition (LOI) and organic tarry matter (OTM) content. Ignitable component of the SPM constituted about 45% and tarry matter in the ambient air was about 12%. Effects of meteorological parameters like temperature, wind direction and wind speed on SPM levels are discussed. 展开更多
关键词 Ambient air SPM monitoring tarry and ignitable matter seasonal variation
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