老年多器官功能衰竭终末期患者经颈动脉采血可行性探讨  

Feasibility of Blood Sampling from Carotid Artery in Elder Patients with Multiple Organ Dysfunction Syndrome in Final Stage

作　　者：王晓媛[1] 秦燕[1] 黄英[1] 李红俊[1] 

机构地区：[1]中国人民解放军总医院南楼血液科,北京100853

出　　处：《护理学报》2010年第11期38-40,共3页Journal of Nursing（China）

摘　　要：目的探讨老年多器官功能衰竭终末期患者经颈动脉采血的可行性。方法 2007年12月—2009年8月住院的老年多器官功能衰竭终末期患者13例,抽取其中29例次评估同一患者采血前桡动脉、股动脉和颈动脉搏动情况,对比其中经桡动脉、股动脉成功采血各30例次和29例次经颈动脉成功采血记录穿刺前评估时间、1次穿刺成功率、采血时间、穿刺后不良反应发生情况。结果老年多器官功能衰竭终末期患者颈动脉较四肢动脉搏动明显;经颈动脉采血评估时间短、1次穿刺成功率高、采血时间短、不良反应小。结论老年多器官功能衰竭终末期患者病情危重、血管条件差,可经颈动脉采血,有利于提高采血成功率。Objective To explore the feasibility of blood sampling from carotid artery in elder patients, when they were in final stage of multiple organ dysfunction syndrome （MODS）. Methods Blood of 13 elder patients with MODS were sampled from carotid artery in all 29 times. Caring effects from carotid artery were compared with from radial artery and femoral artery in evaluating time, achievement ratio of first time, operating fine and adverse reaction ratio. Results Artery pulsation of elder patients with MODS in carotid artery was more obvious than that in limbs artery. Blood sampling from carotid artery had shorter evaluating time and operating time, higher achievement ratio, and lesser adverse reaction ratio. Conclusion Blood sampling from carotid artery in elder patients with MODS in final stage is a good choice under careful operation.

关 键 词：老年 多器官功能衰竭 终末期 颈动脉 采血 动脉穿刺 

分 类 号：R472.9[医药卫生—护理学]