提高婴幼儿头皮静脉穿刺成功率的探讨  

Study on increasing success rate of infantile scalp venepuncture

作　　者：邓寿建 蒋鸿[1] 

机构地区：[1]达州市中心医院,四川达州635000

出　　处：《现代医药卫生》2011年第8期1138-1139,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨如何提高婴幼儿头皮静脉穿刺的成功率。方法:我院2007年9月～2010年9月做过头皮静脉穿刺的婴幼儿6857例,进行穿刺经验总结。结果:(1)穿刺前的语言沟通,可以减轻患儿的疼痛感,减少护患纠纷;(2)选择额正中静脉、额前毛细血管、颅骨缝间静脉进行穿刺,成功率高;(3)肥胖或水肿的患儿应摸清静脉沟,按压静脉,直到静脉略高于皮肤;(4)脱水严重的患儿输注时皮肤无隆起,滴流畅通为成功标准。结论:根据不同对象采取相应有效合理的方法,才能提高婴幼儿头皮静脉穿刺的成功率。Objective：To discuss how to increase the success rate of infantile scalp venepuncture.Methods：6 857 cases of infantile scalp venepuncture in our hospital from September 2007 to September 2010 were summarized for the venepucture experiences.Results：（1） The language communication before puncture could alleviate pain of infant and reduce nurse-patient disputes.（2） The median vein,forehead capillary and cranial sutural vein were selected to be performed the venepuncture with the high success rate.（3）The vein groove in fat infants or edematous infants should be clearly touched and then the skin should be pressed till the veins slightly higher than the skin.（4）The success standard of infusion for severely dehydrated infantile patients was unblocked dipping flow without the skin swelling.Conclusion：Adopting corresponding effective and rational methods according to the different objects can increase the success rate of scalp venepuncture.

关 键 词：婴幼儿 头皮静脉穿刺 成功率 

分 类 号：R5[医药卫生—内科学]