高白细胞白血病患者应用静脉留置针发生堵管的危险因素及护理对策研究  

Risk factors and nursing countermeasures of hyperleukocytic leukemia patients used intravenous indwelling tube plugging

作　　者：章美华[1] 陆影[1] 薛素梅[1] ZHANG Meihua;LU Ying;XUE Sumei(The First Affiiated Hospital of Xinjing Medical University,Urumqi,Xinjiang 830054,China)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《新疆医学》2018年第7期787-789,共3页Xinjiang Medical Journal

摘　　要：目的探讨高白细胞白血病患者应用静脉留置针发生堵管的原因,并提出防范措施。方法采用资料分析法对本院血液病中心56例初诊的WBC≥100×109/L高白细胞白血病患者应用静脉留置针发生堵管的情况进行观察分析。结果本组56例患者中有19例发生了堵管,堵管率为33.9%。结论高白细胞白血病患者应用静脉留置针堵管的发生与患者年龄、置管时选择的静脉、一次穿刺成功率、白细胞计数及凝血功能有关,与患者的性别及置管的肢体不相关;置管前进行充分的评估、选择合适的穿刺部位、正确冲、封管、严格无菌操作及健康宣教等有针对性的护理措施可减少患者堵管的发生率,提高护理工作的质量。Objective The reasons of occluded venous indwelling needle in hyperleucocyte acute leukemia（HAL）patients would investigate and the precautionary measure is given in our study. Methods 56 hyperleucocyte acute leukemia（HAL）patients with WBC≥100 ×10^9/L with venous indwelling needle were observed in our study by data analysis. Results In these 56 patients,19 patients＇ venous indwelling needle were occluded.The rate was 33.9%. Conclusion The incidence are concerned with patients＇ age,the venous,achievement ratios of once puncture, white blood cell count and coagulation function, but it is not related to patients＇ sex and the upper limb. The incidence could be reduced by full evaluation before puncture,the right position of puncture, flushing and sealing,keeping asepsis and health education in our precautionary measure.

关 键 词：高白细胞白血病 静脉留置针 堵管 

分 类 号：R473.73[医药卫生—护理学]