超声引导下心包穿刺置管引流治疗大量心包积液的护理配合

摘要

Objective:To summarize the nursing method and effect of ultrasound guided pericardium puncture catheter drainage in the treatment of a large amount of pericardial effusion.Methods:32 patients with pericardial effusion were selected from January 2009 to January 2014.They were given ultrasound guided pericardium puncture catheter drainage treatment.20 patients with pericardial effusion were selected from January 2003 to December 2008.They were given under ECG clinical nursing bedside puncture pericardial effusion treatment.The nursing coordinations of two groups were compared and analyzed.Results:The ultrasound guided pericardium puncture catheter drainage treatment method was most often a success,but under ECG clinical nursing bedside puncture pericardial effusion treatment method need to repeatedly puncture.The complication incidence rate of ultrasound guided pericardium puncture catheter drainage treatment method was 3.12%;the complication incidence rate under ECG clinical nursing bedside puncture pericardial effusion treatment method was 50% ;the difference was statistically significant(P<0.05).Conclusion:Ultrasound guided pericardium puncture catheter drainage in the treatment of a large amount of pericardial effusion is safe and effective treatment method.Accurate and appropriate,effective nursing coordination is security guarantee.%目的：总结超声引导下心包穿刺置管引流治疗大量心包积液的护理方法和效果。方法：2009年1月-2014年1月收治心包积液患者32例，给予超声引导下心包穿刺置管引流治疗。2003年1月-2008年12月收治心包积液患者20例，给予心电临护下床旁刺穿心包积液治疗。对比分析两组的护理配合情况。结果：超声引导下心包穿刺置管引流治疗方法大部分通常一次成功，而心电临护下床旁穿刺心包积液治疗方法需反复多次穿刺。超声引导下心包穿刺置管引流治疗方法并发症发生率3.12%，心电临护下床旁穿刺心包积液治疗方法并发症发生率50%，差异具有统计学意义(P＜0.05)。结论：超声引导下心包穿刺置管引流治疗大量心包积液是安全、有效的，准确得当、有效的护理配合是安全的保障。