对急诊输液区输注化疗药物的管理及药物渗漏的应急处理  

Infusion chemotherapy infusion area emergency management and drug leakage contingency

作　　者：胡梦萍[1] 张贺真[1] 刘媛媛[1] 

机构地区：[1]北京大学深圳医院急诊科,深圳518036

出　　处：《中国现代药物应用》2010年第14期176-177,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨急诊输液区输注化疗药物的管理及药物渗漏的应急处理方法。方法结合急诊输液区特色,对我科2009年2月至20010年2月间收治的800例化疗患者进行化疗药物注射,对药物外渗引起的损伤15例患者进行分析并不同程度的处理。结果 15例化疗药物外渗引起的损伤,经过各种不同的治疗与护理,经换药等处理,仅1例留有轻度色素沉着和轻微瘢痕,其余全部恢复到正常组织。结论对于化疗药物外渗引起的损伤,护理人员应加强责任心,建立层层护理监控网,发现漏渗及时处理,是预防的关键。医院要规范临床静脉用药与管理,为了给患者创造一个温馨、舒适、安全的输液治疗环境。Objective This paper discusses the emergency infusion of chemotherapy infusion areas of management and drug leakage in the emergency treatment. Methods With 800 cases of chemotherapy in patients with chemotherapy drug injection,the damage caused by drug extravasation analyzed in 15 patients,and varying degrees of processing,combined with emergency infusion with regional characteristics,in February 2009 ～ 20010 2 months,at the hospital. Results 15 cases of damage caused by extravasation of chemotherapeutic drugs through a variety of treatment and care,through the dressing and other treatment,only 1 case with mild pigmentation and mild left scars,and the rest to return to normal tissues. Conclusion For the damage caused by extravasation of chemotherapeutic drugs,nurses should enhance accountability,the establishment of layers of care and monitoring network and found that leakage seepage and timely treatment are critical to prevention. Hospitals need to be standardized clinical intravenous drug use and management of the patient in order to create a warm,comfortable and safe environment for infusion therapy.

关 键 词：化疗药物 管理 药物渗漏 处理 

分 类 号：R473.73[医药卫生—护理学]