中心静脉置管在临床应用中的观察与护理

摘要

目的：总结中心静脉置管的临床护理方法。方法中心静脉置管前加强与患者的沟通，争取患者的理解和配合；中心静脉置管中注意并发症的观察和处理；中心静脉置管后加强导管的护理，预防穿刺点和导管感染，预防导管内血栓形成和栓塞。结果254例中心静脉置管保留时间20～180d，平均69d；无1例出现穿刺处感染和导管内感染，拔除留置针做细菌培养，无1例细菌培养阳性；无1例导管脱出；无1例导管拔除。结论加强中心静脉置管术前、术中和术后护理，对并发症的预防具有重要意义。%Objective to summarize the clinical nursing methods of the central venous catheter. Methods to strengthen the communication with patients of the center venipuncture,strive for the patients understanding and cooperation;Central venous catheter in pay at ention to the observation of complications and treatment. Results 254 cases of central venous catheter retention time of 20~180d,an average of 69d; No 1 case of catheter removal. Conclusion to strengthen the central venous catheter preoperative,intraoperative and postoperative nursing, is of great significance to the prevention of complications.