摘要
目的 探讨急诊危重患者侵入性操作护理措施。方法 回顾性分析我院2013年1月~2015年6月收治的急诊危重行侵入性操作患者186例的临床资料,分析进行侵入性操作的消毒护理措施。结果 本组186例患者中,发生医院感染45例,感染率为24.19%;其中下呼吸道感染22例（48.89%）,泌尿系统感染12例（35.56%）,肠道感染7例（15.56%）,静脉炎4例（8.89%）;所有发生医院感染的患者中,气管插管20例（44.44%）,留置导尿术14例（31.11%）;插管洗胃术9例（20.00%）,深静脉置管术2例（4.44%）。结论 医院感染在急诊危重症行侵入性操作的患者中的发病率较高,主要发生于气管插管、留置导尿管等操作后;在临床工作中,要切实做好消毒护理工作,有效的降低患者感染的发生率,促进患者康复。
Objective To explore the nursing measures for the patients with invasive procedure in the emergency department. MethodsRetrospective analysis of the clinical data of cases of critical patients admitted in our hospital from January 2013 to June 2015 in the emergency department,the clinical data of 186 cases were analyzed. Results 186 cases of this group of patients,45 cases of nosocomial infection,the infection rate was 24.19%,the lower respiratory tract infection in 22 cases（48.89%）,urinary system infection in 12 cases（35.56%）,intestinal infection in 7 cases（15.56%）,phlebitis in 4 cases（8.8%）,all occurred in patients with nosocomial infection,gas tube intubation 20 cases（44.4%）,14 cases by indwelling catheterization（31.11%）,gastric lavage was performed in 9 cases（20.00%）and deep vein indwelling catheter in 2 cases（4.44%）. Conclusion The incidence of nosocomial infection in patients with severe acute disease is high,which is mainly occurred in the operation of tracheal intubation and indwelling catheter. In the clinical work,to do a good job disinfection nursing work,effectively reduce the incidence of patients with infection,and promote the rehabilitation of patients.
出处
《中国卫生标准管理》
2015年第31期203-204,共2页
China Health Standard Management
关键词
急诊危重患者
侵入性操作
消毒
护理
Critical care patients
Invasive operation
Disinfection
Nursing
