几种保持胸管引流通畅方法的对比研究  

The comparative study of a several methods of keeping chest tubes patent

作　　者：王仁鸿[1] 吴淑银[1] 王宏芸[1] 刘黎卉 

机构地区：[1]山东省立医院

出　　处：《齐鲁护理杂志》1998年第5期4-5,共2页Journal of Qilu Nursing

摘　　要：为确定心脏外科术后患者的胸管不挤捏或不挤压是否较挤捏或挤压更易发生胸管阻塞，操作方法不同是否会造成胸腔引流量差异，及挤捏或挤压胸管对患者心率及心律失常发生率有无影响，将待术的先天性心脏病患者随机分作挤捏、挤压和对照３组。结果表明，挤压组在术后４～６ｈ引流量明显增多，其他两组引流量和引流总量差异均无显著性，挤捏或挤压胸管对心率和心律失常的发生率亦无影响。因此，心脏直视术后患者无需挤捏或挤压胸管，如有可见血块，可挤捏局部管道，只需完善胸管的自然引流。引流管道不能打结或扭曲，在病情允许时，尽早改半卧位或斜坡卧位以促进重力引流，保持胸管引流通畅。Aim:The purpose of this study was to determine if chest tubes that are not milked or stripped occlude more frequently than milked or stripped tubes,and if the amount of drainage varies according to the treatment of the tubes The effects of milking and stripping tubes on heart rate and occurrence of arrhythmias were also investigated Method:Patients undergoing open heart surgery under CPB were randomly assigned to one of three treatment groups(milk group,strip group,control group) Results:There was no significant difference in total drainage volume,heart rate,or occurrence of arrhythmias among the three groups of subjects 4 to 16 hours postoperatively,a significantly higher volume of drainage occured in the subjects whose chest tubes had been stripped Conclusion:Neither milking nor stripping is necessary to maintain chest tube patency Tubings should be positioned properly (without loop or kinks)to promote continuous gravity drainage If clots are visible,that portion to the tubing may be milked,leaving the chest tubes alone is a satisfactory policy

关 键 词：心脏手术 胸管 引流 

分 类 号：R473.6[医药卫生—护理学]