ICU 病人中心静脉导管堵塞的原因分析与护理.pdf

,bB7i,=Vg7/BaA,rg7#,VaAapHZV4KDHq,i?*,%M#,g3F,h.e；4pH5.6,Sh),F,7HW,Vf,iOVQTL,hQ,h6bYV5k,B2ZEearTA,5Vw*.C5M.:S,2000:27.5nullIz,i.b2rT4J.,2000,15(5):286null287.6nullNl.L2rT4J.S,2008,8(7):1568null1569.7nullyj.B2ZJ.,2010,24(12C):3291null3292.8nulll,W,*,.25n2hqrTJ.,2010,24(12C):3346null3347.Tenullukc(1965null),o,8,S,VY5T,T:041000,8wgDb(l:2010null12null16)(IRZ)ICUh5ys胡彩珍K1:目的探讨ICU病人中心静脉导管堵塞的原因及护理b方法分析本院置管病人堵管的原因；对195例病人调整护理干预对策,重点是:合理的置管途径,采用正压封管技术,防止血液反流,适当的肝素溶液浓度封管,合理安排输液顺序,尽可能缩短置管时间,及时解除堵塞,C!型方式透明敷贴固定以防止导管折叠a扭曲等b结果发生导管堵塞35例,其中部分堵塞30例,发生率为15.38%；完全堵塞5例,发生率为2.56%b比护理干预前的部分堵塞发生率27.27%,完全堵塞发生率9.63%分别下降了11.89%和7.07%b结论正确的护理干预措施对预防中心静脉导管堵塞能够起到积极的作用b1oM:ICU；中心静脉导管；堵管原因；护理ms|:R473.6nullnullDSM:Cnullnulldoi:10.3969/j.issn.1674null4748.2011.06.007nullnullcI|:1674null4748(2011)2Cnull0480null02nullnullD?Z,5(centralvenouscathenullter,CVC)X5A(5)hbA85aC5b1.3nullSnullA-,35mL10mL5Ai7KvbY:|,Av60gtt/min；s:|,A21gtt/min60gtt/min；:|/Al20gtt/minb2nullT195h,?3535,s30,?3q15.38%；5,?3q2.56%b1-s?3q27.27%,?3q9.63%sY/11.89%7.07%b3null-5ys3.1null5o1null592,538；=567,528；/528,53bF=,O?3q/,O4!2DbVn,O5?3qA=#/5byTP5=,AQ58,/5,5L,#)L1,5y17ewau|aL5Cy1b3.2null=HW1null5TBsT=5=,24h#480#CHINESEGENERALNURSING,February,2011Vol.9No.2C28h=V$8U,5=B8G,H5=CHW=3,5b5=HW9F,Y5YyT,P5=Cv9,5?3q9FbFh5HW7d158d,(69dbsh21?353,h18?34b3.3null0#A1nullICUhyhf,sG,!1b5?C,5h80%V!aAaAai0a*A8a4,7O|tA8K?35b3.4nullhhf1null5?C,7aUhaEki?k#h,3hAh5?3qAdhbyhl9a8HWbA5,P858G,_DbH,G*54b3.5nullDT1null5ZE,.dwdA5ZE58C0!,5；%TAHWVaA8VaHWV；&5%5ewa|5b4null54.1null45onullhff/,5ob195h,/5120,512,=563,5?3qb4.2nullC!ZTiL%null.dL%EP5?3|aew,SN%E,TCZTiL%E!b8ZE:?5#h,fiL,Bf%,O)s5,%Cs55_a_=Z_C!L,i=fiL%,NZE?r%57?3|aew,7OV445=sb4.3null0nulla00W352bAH,i54,d44,5*A8,1A8b0HSsb4.4nullFA(5)h99h,5ZE:cY62.5U/mLdA5mL5b5310mL20mL558,YdAynullnullyTZE5,K1mLH,HwH|,P5=5A,|15Cb5wdAHWe1min=bTr5b%iA85:355b|5=vs0A(5)h,rAQ5；&HW,#H7YAY,Av50gtt/min2；aNUhA,A,rAQb4.7null#HnullA5#5u|5s,5A(5A)kY,?Y,Xv；AkY,?Y,X8；NHU5000U/L7,5Y,B5mL)bi,6BcU5000U/LAiHwH1mL,=15min0v,r595Y,i5mL,0#v,!5Yb4.8null5PHWnull#Hh5A1,hhf,*5,#hhfVa5HW8,9bFh5HW(21db5nulllhICUh5?3q,k,.5M1By#nJ.b+,2009,26(11B):25.4nul