颅脑外伤患者于手术室行颈静脉置管静脉治疗的优越性(1)
 |
| 第1页 |
参见附件(3451KB，3页)。
【摘要】 目的 探讨颈静脉置管在重型颅脑外伤患者救治中的效果和优势。方法 将60例颅脑外伤患者分为两组，实验组使用右颈内静脉置管，对照组使用普通静脉留置针，观察并记录两组的留置时间、穿刺次数、并发症发生率；自行设计问卷调查患者或家属对使用该穿刺方法的主观评价；将资料进行了统计学分析。结果 实验组的穿刺次数、并发症发生率明显少于对照组(P<0.01)；行右颈内静脉置管后患者或家属在减轻痛苦及费用方面给予了较高的评价(P<0.01)。结论 应用中心静脉置管开放静脉通道能有效提高重型颅脑外伤患者静脉输液护理质量，从而达到成功救治患者的目的。
【关键词】 右颈内静脉留置管；颅脑外伤；静脉治疗；护理
The superiority of the jugular vein catheter in the operating Room with traumatic brain injury.
ZHAO Sue. Operating room, Huaihua City Fifth Peoples Hospital, Hunan 418000, China
【Abstract】 Objective To investigate the jugular vein catheterization in patients with severe traumatic brain injury treatment and benefits in effect. Methods 60 patients with traumatic brain injury patients were divided into two groups, the experimental group used the right internal jugular vein catheterization in the control group with normal intravenous catheter, observed and Recorded the retention time of the two groups, the number of puncture, complication rate.Selfdesigned questionnaire surveyed of patients or their families on the use of the subjective evaluation of the puncture method.The data were statistically analyzed.Results Puncture the number of the experimental group, the complication rate was less than the control group (P<0.01).Line right internal jugular vein catheter after the patients or family members were given a higher rating on alleviate suffering and costs.(P<0.01).Conclusion Application of central venous catheter can open intravenous access in patients with severe traumatic brain injury can improve quality of care for intravenous infusion, to achieve the objective of successful treatment of patients.
【Key words】
Right internal jugular vein indwelling tube; Brain injury;Intravenous therapy;Care
作者单位：418000湖南省怀化市第五人民医院手术室
重型颅脑外伤是外科常见的急症，由于颅内血肿压迫形成局部或广泛的脑水肿，压迫重要的中枢神经或出现脑疝，严重威胁患者的生命[1]。救治中需要快速静脉滴注甘露醇等高渗液体进行脱水，降低颅内压。同时该类患者多合并有其他复合伤引致的失血性休克，需要大量输入血制品，进行液体复苏。因此尽早建立有效的静脉通道，保证药物的输注和液体的补充是治疗的关键一步。我科2007年推广了右颈内静脉留置管，相比较于普通静脉留置针而言临床效果更好，现报告如下。
1 资料与方法
1.1 一般资料 选择2007年1月至2010年1月60例研究对象，其中女14例，男46例，年龄36～67岁，平均(41.38±23.62)岁。硬膜外血肿46例，脑内血肿14例。对于全部病例的筛选，符合临床诊断标准[2]，确诊采用的技术为核磁共振或头颅CT、扫描 ......
您现在查看是摘要介绍页，详见PDF附件(3451KB，3页)。