颈内静脉留置双腔导管并发症的发生原因及处理  

Causes analysis on complications of double lumen internal jugular vein catheters and related nursing measures

作　　者：杨爱民[1] 周建萍[1] 周洋[1] 

机构地区：[1]江苏省南通市肿瘤医院胸外科,江苏南通226006

出　　处：《中西医结合护理（中英文）》2017年第1期59-61,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨胸外科手术患者颈内静脉留置双腔导管并发症发生的原因及相应的处理方法。方法回顾性分析242例颈内静脉留置双腔导管的患者发生并发症的原因,并探讨相关处理措施。结果 242例患者发生并发症32例(13.2%),其中一侧导管堵管18例(7.4%),导管脱出5例(2.1%),拔管困难4例(1.7%),皮肤过敏2例(0.8%),置管后血肿1例(0.4%),拔管窘迫综合征1例(0.4%),拔管后血栓1例(0.4%)。经对症处理后,均能保证患者管道留置期间的安全。结论胸外科手术患者颈内静脉留置双腔导管期间加强对管道的观察与护理,严格执行操作流程,密切观察病情变化,能够确保患者的静脉通路的安全使用。Objective To investigate potential reasons of complications after double lumen internal jugular vein catheters in patients with thoracic surgery. Methods To retrospectively collect the clinical data of 242 patients with double lumen internal jugular vein catheters,and to find potential reasons and nursing measures of complications. Results There were 32 cases of complications observed,including 18 cases（ 7. 4%） of unilateral catheter blockage,5 cases（ 2. 1%） of catheter dislocation,4 cases（ 1. 7%） of difficult decannulation,2 cases of skin allergy（ 0. 8%）,1 case（ 0. 4%） of hematoma after insertion,1 case（ 0. 4%） of CVC removal distress syndrome and 1 case（ 0. 4%） of thrombus after catheter removal. Corresponding treatments were carried out to make sure the safety in the venous indwelling period. Conclusion Efforts should be made on issuers such as observation and nursing,operation procedures,monitoring on disease condition,in order to ensure the venous access safety.

关 键 词：胸外科手术 中心静脉置管 颈内静脉 双腔导管 并发症 原因分析 

分 类 号：R473.6[医药卫生—护理学]