摘要
总结了 19 例不同病原菌所致 PICC 相关血流感染的护理经验。 发生导管相关血流感染时，应及早与输液反应鉴别，及时采集细菌培养标本，在伤口换药及抗凝治疗时，注意观察伤口渗液、皮肤颜色、黏膜出血、臂围、咳嗽、胸闷等情况，出现伤口愈合不良、凝血功能障碍时，及时处理。 12 例革兰阳性菌及 1 例铜绿假单胞菌感染者，用氯己定消毒后，再敷银离子藻酸盐敷料， 2-6 d 后伤口愈合。 1 例血栓形成者抗凝治疗时，发生凝血功能障碍，及时调整治疗方案，继续抗凝治疗， 10 d 后，血管再通。
This paper summarized the nursing experience of catheter-related blood stream infection（CRBSI） caused by different pathogenic bacteria in 19 patients with peripherally inserted central catheter （P1CC）. In con- clusion,once PICC related CRBSI happened,we must distinguish between CRBSI and transfusion reaction as soon as possible and correctly collect bacterial specimens in time. And when we administered wound care and anticoagu- lant therapy,we should pay attention to pyecchysis,skin color,mucosal bleeding,arm circumference,cough,chest tightness,etc. Once we found poorly healing wounds or blood,coagulation,dysfunction,we treated them as soon as possible. We disinfected with chlorhexidine gluconate and applied silver ion alginate in wounds of 12 cases infect- ed by gram-positive bacteria and 1 case infected by pseudomonas aeruginosa bacteria. It took 2 to 6 days for these wounds to heal. One patient with thrombosis developed coagulation disorders during treatment process. The blood vessels were clear again after adjusting the treatment strategy in 10 days.
出处
《中华护理杂志》
CSCD
北大核心
2016年第11期1368-1370,共3页
Chinese Journal of Nursing
关键词
导管插入术
外周
导管相关血流感染
护理
Catheterization,Peripheral
Catheter-related Blood Stream Infection
Nursing
