胸腔积液患者行中心静脉导管引流的观察与护理  

Observation and nursing of pleural effusion patients with central venous catheter drainage

作　　者：吴少红 

机构地区：[1]河源市源城区人民医院内科,517000

出　　处：《中国实用医药》2009年第28期152-153,共2页China Practical Medicine

摘　　要：目的探讨对胸腔积液患者行中心静脉导管引流的观察与护理体会。方法对2008年4月至2009年1月收住的胸腔积液118例患者术前通过采取个性化的心理护理和健康教育,因人因病施护,让患者充分了解手术目的、必要性、方法和此治疗措施的优点,消除患者的紧张、恐惧心理,使其能够积极配合治疗。术后通过加强引流管的护理、引流液的观察、穿刺点的保护,确保导管固定通畅,无感染发生,从而保证治疗过程顺利。结果本组患者均一次穿刺置管成功,引流过程中患者无疼痛不适,置管时间5～40d,平均(18.1±3.4)d,治疗完毕拔管后穿刺部位皮肤伤口1d内愈合,患者均无感染、胸腔出血、气胸等并发症发生。结论良好的护理可以促进中心静脉导管引流治疗胸腔积液的临床应用效果的提高。Objective To discusses the clinical observation and nursing experience of pleural effusion patients with central venous catheter drainage. Methods To successfully treat the 118 cases of pleural effusion patients in our hospital in April 2008 - January 2009, we carried out psychological care, health education and trengthened the observation condition, catheter care. Results All these patients had a successful puncture. There was no pain in the drainage process and no infection, pleural bleeding, pneumothorax or other complications. Conclusion Effective care can improve the clinical effects of pleural effusion patients with central venous catheter drainage.

关 键 词：中心静脉导管引流 胸腔积液 护理 

分 类 号：R561[医药卫生—呼吸系统] R473.5[医药卫生—内科学]