正文描述:《探讨神经外科应用静脉留置针的护理方法.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、神经外科是医院例急危重症患者尤为会集的当地,多为进行脑血管认为患者,包含脑出血,脑梗死,蛛网膜下腔出血以及颅脑损伤等。此类患者往往病情严重,发展迅速而杂乱,医治作用不稳定,预后不抱负,在抢救过程中多需求紧迫输注各类液体和药物,因而为了防止重复穿刺静脉,削减看护工作量,静脉留置针成了一项极为有用的办法。静脉留置针又称套管针,穿刺成功后退出针芯,将柔软的套管留置于血管内,这样在后续的输注中操作比拟简单,有利于血管维护,但临床看护中也调查到留置针也会带来有些并发症,因而咱们对这一疑问进行了相应研讨,现将研讨成果报告如下。Departmentofneuro
2、surgeryisthehospitalcasesofcriticallyillpatientsistheconvergenceoflocal,mostlyforcerebrovascularpatientsconsidered,includingcerebralinfarction,cerebralhemorrhage,subarachnoidhemorrhageandtraumaticbraininjury.Suchpatientsoftensevereillness,rapiddevelopmentandmessy,healingeffect
3、isnotstable,prognosisisnotideal,intherescueprocessmoreurgentneedinfusionofallkindsofliquidandthemedicine,thustopreventrepeatedpuncturevein,cutthenursingworkload,venousindwellingneedleintoaveryusefulway.Venousindwellingneedleandneedle,aftersuccessfulpunctureneedlecorewillexit,s
4、ofttubeindwellinginveins,sointheinfusioninthefollow-upoperationissimple,isconducivetothevesselmaintenance,butalsotoclinicalnursingresearchwillalsobringsomecomplicationsofindwellingneedle,soweonthisquestionofthecorrespondingresearch,theresearchresultstoreportasfollows.1•材料与办法1m
5、aterialsandmethods1.1临床材料挑选我院神经外科2012年1月至2012年10月间收治的安顿了静脉留置针的各类患者共80例作为研讨目标,其间男性43例,女人37例;年纪21-65岁,均匀(33.64±9.52)岁。病种掩盖规模包含交通事故伤30例、高处掉落伤19例、脑血管意外22例,重物揉捏伤7例、打架斗殴伤2例。两组患者在年纪、性别、病程等方面比拟无区别,具有可比性(P<0.05)o1.1clinicalmaterialsselectedinourhospitalfrom2012Januaryto2012OctoberinDep
6、artmentofNeurosurgery,thetimeofvenousindwellingneedleofatotalof80patientswereastheresearchtarget,themale43cases,37caseswerewomen;aged21~65yearsold,uniform(33.64±9.52)yearsold.Diseasecoverageincludedtrafficaccidentin30cases,highfallinjuryin19cases,cerebralvascularaccidentin22ca
7、ses,heavykneadinginjuryin7cases,while2casesfight.Twogroupsofpatientsintermsofage,sex,courseofdiseasewithnodifferenee,comparable(P<0.05).1.2办法依照随机化准则将两组患者分为调查组和对照组,每组40例,入院后一切患者均依照相应疾病抢救准则给予活跃抢救或救治,需求进行静脉穿刺植入静脉留置针者依照静脉留置针的操作规矩,穿刺前与患者家族解说阐明穿刺留置针的必要性和能够存在的并发症以及留置针植入后需求注重的疑问等,征得患者
8、家族的赞同并签字认可。之后依据实际情况挑选颈外静脉或股静脉进行穿刺,一般来说最佳挑选颈外静脉,由于关于卧床患者来说挑选股静
显示全部收起