靜脈留置針在兒科中的應用
摘要
靜脈輸液是兒科臨床中最常用的治療方法之一,
特別是在危急重癥患兒的搶救治
療過程中占有重要的地位。隨著醫學科技的飛速發展。靜脈留置針因其操作簡單,套管
柔軟,
套管在靜脈留置時間長且不易穿破血管的特點特點在兒科中的應用尤為顯示出它
的優越性。
本文通過對我院兒科
357
例使用靜脈留置針的患兒進行臨床觀察護理,
發現
存在的問題,并進行分析,探索出有效的應對措施。從而保證靜脈留置針在兒科安全有
效的使用。
關鍵詞
兒科
靜脈留置針
靜脈穿刺
Abstract
:
The
venous
transfusion
is
one
of
department
of
pediatrics
clinical
most
commonly
used
methods
of
treatment,
specially
holds
the
important
status in the critical critically ill baby's rescue course of treatment. Along with
medicine
science
and
technology
swift
development.
The
vein
detained
needle
because
of
its
simplicity
of
operator,
the
drive
pipe
is
soft,
the
drive
pipe
in
the
vein
the
leaving
alone
time
is
long,
and
is
not
easy
to
wear
out
blood
vessel's
characteristic
characteristic
especially
to
demonstrate
its
superiority in department of pediatrics's application. This article through leaves
alone needle's baby to 357 example use vein to carry on clinical observation
nursing, discovered that the existence the question, and carries on the analysis,
explores
the
effective
counter
measures.
Thus
guarantee
vein
detained
needle in department of pediatrics safe effective use.
Key phrase
:
Department of pediatrics, vein detained needle, venipuncture
。
目錄
1
臨床資料…………………………………………………………………………
3
2.
方法………………………………………………………………………………
3
2.1
材料選擇………………………………………………………………………
3
2.2
適用圍………………………………………………………………………
3
2.3
血管選擇………………………………………………………………………
3
2.4
穿刺方法………………………………………………………………………
3
2.4.1
穿刺前護理人員清洗雙手…………………………………………………
3
2.4.2
打開包裝……………………………………………………………………
3
2.4.3
固定后根據患兒……………………………………………………………
3
2.4.4
輸液畢………………………………………………………………………
4
3.
結果………………………………………………………………………………
4
4.
應用實踐中常見的問題及分析…………………………………………………
4
4.1
置管成功率不高…………………………………………………………………
4
4.1.1
患兒的血管細…………………………………………………………………
4
4.1.2
留置穿刺者技術掌握不熟練…………………………………………………
4
4.2
保留時間短………………………………………………………………………
4
4.2.1
液體滲漏………………………………………………………………………
4
4.2.2
管腔堵塞………………………………………………………………………
4
4.2.3
留置針脫出……………………………………………………………………
4
4.2.4
靜脈炎…………………………………………………………………………
4
5.
對策…………………………………………………………………………………
4
5.1
提高穿刺成功率…………………………………………………………………
4
5.2
固定夾板的使用…………………………………………………………………
5
5.3
預防管腔堵塞的方法……………………………………………………………
5
5.4
預防穿刺部位的感染引發的靜脈炎……………………………………………
5
5.5
加強患兒家長的健康宣教………………………………………………………
5
6.
小結…………………………………………………………………………………
5
參考文獻………………………………………………………………………………
6