深静脉穿刺置管术在重症监护病房的应用及体会(附1000例报告)  

Application and Experience of Permanent Needle of Deep Venipuncture in Intensive Care Unit of 1000 Cases

作　　者：余跃天[1] 刘春艳[1] 倪菊平[1] 江帆 

机构地区：[1]上海瑞金医院集团闵行医院ICU,上海201100

出　　处：《临床急诊杂志》2008年第6期348-350,共3页Journal of Clinical Emergency

摘　　要：目的探讨深静脉穿刺置管术在重症监护病房的应用,总结此技术在应用中的经验与体会,不断提高深静脉置管术的技术水平及治疗效果。方法回顾入重症监护病房抢救及治疗的1000例患者行深静脉穿刺置管术的操作要点,穿刺结果及并发症出现情况。结果结果深静脉穿刺成功率为99.2%,并发症发生率为2.1%,抢救效果好,并发症少。结论深静脉穿刺置管术在重症监护病房有着重要的应用,根据患者的具体情况选择合适的穿刺部位,术中仔细规范操作,及时处理术中出现的问题,预防并发症,是保证穿刺成功及提高治疗效果的关键。Objective To explore the clinical application of permanent needle of deep venipuncture in Intensive Care Unit and to summarize the experience. Methods We reviewed our clinical experience in 1000 patients be rescued in Intensive Care Unit and analyzed the main procedure points, results and the complications of operation. Results The success rate of venipuncture was 99.2% and the complication rate was 2.1%. The effect was satisfactory and the complication was less. Conclusion Permanent needle of deep venipuncture shows an important role in Intensive Care Unit. Selection of appropriate puncture point according to the patient＇s specific conditions, careful and standardized operations, dealing with the problems raising during the operation promptly, and prevention of complications all played a key role for the successful operation and the improvement of therapeutic efficacy.

关 键 词：穿刺术 中心静脉置管 并发症 危重病患者 

分 类 号：R446.8[医药卫生—诊断学]