摘要
目的探讨中线导管在肾移植术后静脉治疗中的应用效果。方法2018年5月—2019年2月84例肾移植患者采取置入中线导管进行静脉治疗,经肘窝或肘上浅静脉置管,置管长度22~36 cm;置管期间做好导管的维护,重视并发症的预防及处理,观察拔出导管的情况。结果84例患者导管留置时间10~41 d,发生穿剌点渗血渗液各2例,堵管2例,肩部疼痛2例,上肢水肿1例;经精心护理及处置,无严重并发症发生,效果满意。结论应用中线导管静脉治疗,不需反复静脉穿刺,减少了患者的穿刺痛苦和静脉炎的发生,达到了预期的治疗效果,且减轻了护士的工作量。
Objective To investigate the effect of midline catheter in intravenous treatment after renal transplantation.Methods From May 2018 to February 2019,84 renal transplant patients were treated with central line catheters,which were placed through cubital fossa or superior superficial cubital vein.The length of catheters was 22-36 cm.During catheterization,the maintenance of catheters was well done,the prevention and treatment of complications were emphasized,and the situation of catheter extraction was observed.Results Totally 84 patients had catheter indwelling time of 10-41 days,2 cases of puncture point oozing,2 cases of tube plugging,2 cases of shoulder pain,1 case of upper extremity edema.After careful care and treatment,no serious complications occurred and the effect was satisfactory.Conclusions The application of midline catheter vein treatment,without repeated venipuncture,reduces the pain of patients'puncture and the occurrence of phlebitis,achieves the expected treatment effect,and reduces the workload of nurses.
作者
刘贞
毛连娜
王兆辉
袁海棠
庄丽梅
Liu Zhen;Mao Lianna;Wang Zhaohui;Yuan Haitang;Zhuang Limei(Department of Urology,960th Hospital of the People's Liberation Army,Ji'nan 250031,China)
出处
《中华现代护理杂志》
2019年第32期4216-4218,共3页
Chinese Journal of Modern Nursing
关键词
肾移植
静脉治疗
输液
中线导管
并发症
Renal transplantation
Intravenous therapy
Infusion
Midline catheter
Complication
