外周静脉留置针加压输液导致患者肢体肿胀因素的分析.docVIP

精品论文 参考文献 外周静脉留置针加压输液导致患者肢体肿胀因素的分析 黄淑玲 张焕芳 袁慧萍 （广州医学院第三附属医院 广东广州 510150） 【摘要】目的 探讨患者外周静脉留置针加压输液导致肢体肿胀的原因及处理措施。方法 研究我院CCU 2011年1月-2012年8月发生外周静脉留置针加压输液时肢体发生肿胀的48例患者的资料进行分析。结果 加压输液时留置针最长保留4个小时，最短保留1个小时，加压输液的肢体肿胀便会出现，给予及时的处理，两到三天内肿胀肢体即可恢复。结论 外周静脉留置针加压输液组比外周静脉留置针静脉泵推注组易导致肢体肿胀，差异具有统计学意义（P﹤0.05）。非抢救时外周静脉不做加压输液，抢救成功后应尽快建立中心静脉加压输液，缩短外周静脉加压输液的时间，并预防性和针对性的采取保护措施，严格执行无菌操作，加强巡视。 【关键词】外周静脉 留置针 加压输液 肢体肿胀 【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752（2013）19-0044-02 To analysis the correlate factors that lead the patientsrsquo; limb swelling by infusion pressor though remaining needle on peripheral vein HUANG Shu-ling，ZHANG Huan-fang，YUAN Hui-ping. The third affiliated hospital of guangzhou medical college,Guangzhou 510150,China 【Abstract】Objective To explore the reason and treatment measures of limb swelling by infusion pressor on patientsrsquo; peripheral vein remaining needle. Methods Analysis the data of 48 limb swelling patients lead by infusion pressor on patientsrsquo; peripheral vein remaining needle during 2011.1-2012.8 in CCU of our hospital. Results The remaining needle could be reserved 1 to 4 hours the infusion pressor limb come to swelling when pressure infusion. The swelling limb restored after treatment timely in 2-3 days .Conclusion The group infusion pressor by remaining needle on peripheral vein are more likely to result limb swelling than vein pump push by remaining needle on peripheral vein, they have a statistically significant difference (P ﹤ 0.05). Dont pressure infusion on peripheral vein when no rescue, and we should established the central venous channel as soon as possible after successful rescue. Shorten the time infusion pressor on peripheral vein, and take preventive and pertinence protective measures, strictly implement aseptic operation, enhance perambulation. 【Key words】Peripheral vein remaining needle infusion pressor limb swelling 静脉留置针又称为套管针，该技术的使用不仅为需要长期输液的病人减少了多次穿刺的痛苦