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find Keyword "静脉导管" 55 results
  • 微创胸膜腔置管注入尿激酶治疗结核性胸腔积液

    【摘要】 目的 探讨微创胸膜腔置入中心静脉导管(简称导管)注入尿激酶治疗结核性包裹性胸腔积液(简称积液)的临床价值。方法 2008年6月-2009年8月在正规抗结核治疗基础上,选取确诊积液患者72例,按数字随机法分为治疗组和对照组,治疗组36例经超声引导导管置入胸膜腔并注入生理盐水50 mL加尿激酶10万 U,对照组36例多次穿刺抽液,比较两组疗效及积液引流量、胸膜厚度、积液吸收时间等。结果 治疗组28例显效,5例好转,3例无效;对照组10例显效,13例好转,13例无效,两组疗效差异具有统计学意义(Plt;0.05)。治疗组与对照组平均积液引流量分别为1 421 mL和756 mL,胸膜厚度分别为(1.9±0.4) mm和(3.7±1.2) mm,积液吸收时间分别为(13.3±1.2)d和(17.3±1.6)d,两组间比较差异均有统计学意义(Plt;0.05)。结论 超声引导导管置入胸膜腔并注入尿激酶治疗结核性包裹性胸腔积液疗效显著,可增加引流量,减轻胸膜肥厚,改善肺功能,减少穿刺机会。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • 胃癌患者中心静脉导管的护理改进

    【摘要】目的探讨改进胃癌患者中心静脉导管护理的可行性。方法从2009年开始对胃癌患者中心静脉导管的护理流程、导管附件、贴膜及贴膜更换时间等方面进行了改进。结果180例胃癌患者中心静脉导管留置期间出现并发症明显减少,特别在导管相关性感染方面取得很好效果,无大批感染。结论改进胃癌患者中心静脉导管护理可减少护理过程中的并发症。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • 新生儿外周静脉置入中心静脉导管堵管原因分析

    目的探讨新生儿经外周静脉置入中心静脉导管(PICC)堵塞原因,寻求措施以减少堵管发生率。 方法对2010年1月-2013年3月97例留置PICC发生管道堵塞的患儿资料进行分析,总结堵管原因并提出护理对策。 结果97例PICC置管患儿中,17例发生堵管,发生率17.5%,堵管后再通成功12例。低年资护士维护者堵管发生较多;夜间堵管较多。 结论针对新生儿PICC堵管的主要原因给予相应护理干预能降低PICC堵管率。

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  • 超声技术联合经外周静脉置入中心静脉导管支撑导丝头端退出法在导管多次异位颈内静脉复位中的应用

    目的探讨经外周静脉置入中心静脉导管(PICC)置管时导管头端多次异位到颈内静脉时的有效复位方法。 方法收集2014年3月-12月在血管超声引导下行PICC置管时,导管头端异位到颈内静脉3次以上的患者17例,对其首先按常规复位法复位3次,仍不能成功复位,则采用支撑导丝头端退出法,以利用血液流向和重力作用,将异位的导管调整至正常位置。 结果17例患者先采用常规复位法复位3次,均不成功。改用支撑导丝头端退出法进行复位,一次复位成功16例,成功率为94.11%;二次复位成功率达100%。 结论PICC置管联合血管超声,能及时发现导管是否异位颈内静脉,采用常规复位方法3次,均不能成功复位时,采用支撑导丝头端退出法,可有效纠正导管头端异位,提高置管成功率,减少反复送管所致静脉并发症。

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • 经外周静脉置入中心静脉导管术与锁骨下静脉插管在造血干细胞移植治疗中的应用效果

    目的 探讨经外周静脉置入中心静脉导管(PICC)术在造血干细胞移植患者中的应用。 方法 将2008年2月-2011年6月入住我院并接受造血干细胞移植的95例患者按自愿选择原则,49例纳入观察组采用PICC置管,46例纳入对照组采用锁骨下静脉置管,比较两组静脉穿刺置管时间、一次置管成功率、静脉置管的液体流速及并发症发生情况。 结果 穿刺置管时间观察组平均为16 min,对照组平均为24 min,两组比较差异有统计学意义(P<0.05);观察组一次置管成功率97.91%,对照组一次置管成功率82.60%,两组比较差异有统计学意义(P<0.05);观察组静脉置管液体流速最大(118 ± 1)滴/min,对照组则为(184 ± 1)滴/min,两组比较差异有统计学意义(P<0.05);观察组并发症发生率低,但两组比较差异无统计学意义。 结论 PICC静脉穿刺置管时间短,一次穿刺成功率高,并发症发生率低,静脉液体流速完全能满足治疗需要,值得在造血干细胞移植治疗中推广应用。

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  • Risk Factors for Central Venous Catheter-related Infections and Its Countermeasures

    ObjectiveTo explore the risk factors for central venous catheter (CVC)-related infections and its Countermeasures, as CVC is an important vascular access for blood purification and is widely used in clinical applications, but catheter-related infection is one of the common severe complications. MethodsWe retrospectively analyzed the clinical data of 725 patients with complicated infections of indwelling center venous double lumen catheter treated between January 2009 and December 2012. ResultsAmong all 725 cases, 15 had catheter-related infection. There were one case of subcutaneous tunnel infection (staphylococcus aureus by the secretion culture, negative for blood culture), and 14 cases of positive blood culture including 9 staphylococcus aureus cases, 3 escherichia coli cases, 1 colorless bacillus case and 1 stenotrophomonas maltophilia case. Eight cases were cured by antibiotic therapy while antibiotics were invalid in the other 7 cases resulting in tube withdrawing. ConclusionThe central venous catheter-related infections are related to medical service ability, catheter indwelling position, indwelling time, hemodialysis adequacy, patients' general condition and personal hygiene. Taking relative measures in view of each factor is the key to prevent infections.

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  • Evaluation of clinical guidelines and consensus on the quality of central venous catheters

    Objective To evaluate the methodological quality and reporting quality of clinical guidelines and consensus on central venous catheters. Methods The PubMed, EMbase, Web of Science, CBM, WanFang Data, CNKI databases and Guidelines International Network, National Institute for Health and Clinical Excellence, National Guideline Clearinghouse, Medive.cn websites were searched to collect clinical guidelines and consensus related to central venous catheters. The retrieval time was from the establishment of the database to October 2022. Two researchers independently screened the literature, extracted data and used evaluation tools AGREE Ⅱ and RIGHT to evaluate the quality of the included studies. Results A total of 34 central venous catheter guidelines and consensus were included. The average score for each field of AGREE II was 53.73% for scope and purpose, 39.26% for participants, 39.57% for rigor, 46.76% for clarity, 30.23% for application and 49.18% for editorial independence. Items 1a, 1b, 3, and 4 (100.00%) had the highest reporting rate in the RIGHT evaluation items, followed by items 19a (97.05%), 2/19b (94.11%), 20 (91.17%), 7b/11a (88.23%), and 7a (85.29%). The reporting rate of the remaining items was below 60%. Subgroup analysis results showed that the average score and RIGHT score of the guidance class in the four fields of AGREE Ⅱ (rigor, clarity, application and editorial independence) were higher than those of the consensus class. Guidelines and consensus formulated based on evidence-based medicine methods were higher than those formulated based on expert opinions or reviews in the three fields of AGREE II (rigor, application and editorial independence). The average scores of foreign guidelines and consensus in 6 fields and RIGHT scores of AGREE Ⅱ were higher than those of domestic guidelines and consensus. Conclusion The AGREE Ⅱ of 6 fields average score and RIGHT score in foreign guidelines are higher than those in domestic guidelines.

    Release date:2023-09-15 03:49 Export PDF Favorites Scan
  • 留置中心静脉导管拔管后导致高热一例

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
  • 乳腺癌患者患侧上肢经外周静脉置入中心静脉导管的护理

    目的 探讨乳腺癌患者患侧上肢置入中心静脉导管的护理方法。 方法 2009年2月-2012年7月,对28例健侧血管条件差的乳腺癌患者患侧上肢贵要静脉置入中心静脉导管,其中4例患者先行术前新辅助化学疗法(化疗),术后再继续化疗;其余24例行术后化疗。 结果 1例因发生血栓性静脉炎而拔出导管,其余均按计划顺利完成化疗。 结论 乳腺癌患者健侧静脉条件较差。术后若患侧上肢无水肿,只要置管操作娴熟,严格无菌技术,规范维护导管技术,从患侧上肢贵要静脉置入中心静脉导管,并发症发生率较低,对临床有一定的指导意义。

    Release date:2016-09-07 02:37 Export PDF Favorites Scan
  • 正压输液接头在人工肝股静脉置管中的应用

    目的 总结正压输液接头在人工肝股静脉置管中的应用及经验,为临床护理供依据。 方法 对2011年6月-11月67例人工肝股静脉置管后使用正压输液接头封管的护理情况进行回顾分析、讨论。 结果 本组患者人工肝治疗260例次,每例患者行人工肝治疗1~8次,置管时间为3~20 d,无1例出现堵管和与导管相关的并发症。 结论 人工肝治疗中正确使用正压输液接头,可有效减少股静脉管堵塞,减少抗凝药物使用频率从而降低患者出血几率,减少护士工作量,提高工作效率。

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