新生儿桡动脉应用留置针后致腕部血肿的原因分析及护理对策  

Analyzing reasons of hematoma on wrist after detaining the needle wears in radial artery and discussing nursing measures

作　　者：赵晓丹[1] 于凤英[1] 

机构地区：[1]中国医科大学附属盛京医院,辽宁沈阳110004

出　　处：《实用临床医药杂志》2011年第4期79-81,共3页Journal of Clinical Medicine in Practice

摘　　要：目的分析新生儿应用留置针进行桡动脉穿刺后致腕部血肿的原因并探讨解决对策。方法对监护室内应用留置针进行桡动脉穿刺的新生儿进行观察,对发生腕部血肿并发症的患儿总结教训,归纳经验。结果新生儿应用留置针进行桡动脉穿刺后致腕部血肿并发症的原因有患儿本身的因素,也有护理人员在操作过程中穿刺手法及术后套管针护理方法的影响。结论采取正确的置管方法,完善留置针的维护等措施可有效减少或避免血肿出现,为临床提供准确的诊疗依据,有利于疾病的恢复。Objectives To analyze the reasons of hematoma on wrist after detaining the nee-dle wears in radical artery and to discuss how to solve the problems.Methods Through observing neonates in NICU who were indwelled needles in radical artery,lessons and experiences of the in-fants who were suffering from the hematoma on wrist were summed up.Results Two reasons of hematoma were found,the first being the factors of neonates themselves,the second puncture meth-ods and nursing measurements after indwelling.Conclusion Correct puncturing and indwelling the needles,circumspective maintaining after puncturing can reduce the happening of hematoma or avoid it effectively,which can ensure the right diagnosis and treatment as well as help patients to re-cover.

关 键 词：新生儿 留置针 桡动脉 血肿 

分 类 号：R459.5[医药卫生—治疗学]