心胸外科围手术期患者中心静脉导管感染因素分析  

Analysis on the factors to perioperative patients with central venous catheter in cardiothoracic surgery department

作　　者：赵辉[1] 梁冰[1] 王豪杰[1] 施巩宁[1] 

机构地区：[1]河南大学淮河医院心胸外科,475000

出　　处：《中国实用医药》2014年第21期194-195,共2页China Practical Medicine

摘　　要：目的分析心胸外科围手术期患者中心静脉导管感染因素并采取有效措施。方法回顾性分析320例患者的中心静脉导管留置情况并进行调查。结果留置中心静脉导管最长23 d,最短4 d,平均时间8.3 d,导管尖端进行细菌培养,20例培养出葡萄球菌,56例培养出真菌,4例培养出葡萄球菌合并真菌。结论严格无菌操作,仔细观察,合理使用抗生素,正确选择穿刺部位,定期更换敷料及接头,可以有效预防感染的发生。Objective To investigate the infection factors of central venous catheter（CVC） and lookfor measures to deal with infection of perioperative patients with CVC. Methods Retrospectively analyzed the clinical data of 320 patiets who were placed CVC in cardiothoracic surgery department. Results The longest position time of CVC was 23 days, the shortest position time was 4 days, with an average time of 8.3 days. Bacterial culture of the catheter tip was took place when CVC was pulled out from central venous, 20 cases were found staphylococcus, 56 cases were found fungus, 4 cases were found both staphylococcus and staphylococcus. Conclusion Strict aseptic operation, careful observation, rational use of antibiotics, correct selection of puncture, periodically changed dressings and connectors, can effectively prevent the occurrence of the infection.

关 键 词：心胸外科 中心静脉导管 感染 

分 类 号：R473.6[医药卫生—护理学]