肝胆外科10例意外拔管的原因分析与防范护理  

Causes analysis of unexpected extubation of 10 patients in hepatobiliary surgery and its preventive nursing

作　　者：韩湘华[1] 王瑞兰[1] 黄秋霞[1] 白志芳[1] 陶红伟[1] 

机构地区：[1]解放军302医院肝胆外科一中心二科,北京100039

出　　处：《实用临床医药杂志》2014年第18期43-45,52,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨肝胆外科各种留置导管患者发生意外拔管的原因并提出相应的护理措施。方法对402例在本科行肝胆手术并留置导管中发生意外拔管的10例患者的临床资料进行分析。结果 10例出现意外拔管的情况中,患者自行拔出胃管3例,夜间患者翻身导致腹腔引流管脱管2例,部分退管后腹腔引流管自行脱出2例,搬运中过度牵拉脱出尿管、深静脉插管各1例,未使用缝线固定术后空肠营养管脱出1例。结论针对管道滑脱原因制定相应护理措施、加强临床上管道护理措施的完善和管道护理的规范化、制度化、流程化会减少导管意外拔管的发生。Objective To explore the causes and the nursing measures of unexpected extu- bation of indwelling catheter in hepatobiliary surgery. Methods The clinical date of 10 patients with unexpectedly extubation among 402 patients with hepatobiliary surgery and indwelling catheters was analyzed. Results In 10 unexpectedly extubation patients, there were 3 patients pulling out the stomach tube by themselves, 2 patients pulled out abdominal drainage tube in the night when turning over. 2 patients＇ abdominal drainage were automatically pulled out. 1 patient＇s catheter and 1 patient＇s deep venous intubation were pulled out by overly power in their transport. Jejunum nutrition tube without suture fixation of 1 patient was pulled out. Conclusion According to the causes of unexpected extubation, improvement of nursing measures, standardized and institu- tionalized nursing can reduce the incidence rate of unexpected extuhation.

关 键 词：留置管道 意外拔管 护理 

分 类 号：R473.6[医药卫生—护理学]