摘要
目的分析超早产儿脐静脉置管主要并发症发生的原因,并提出护理对策。方法回顾性分析2015年10月—2017年10月陆军总医院附属八一儿童医院203例超早产儿脐静脉置管并发症发生情况。结果203例超早产儿脐静脉置管中,38例出现不同的并发症,发生率18.71%。其中导管异位14例,导管滑脱8例,脐部渗血7例,医源性皮肤损伤6例,导管相关性血流感染3例。经及时采取有效措施,未发生任何不良后果。结论根据并发症发生原因及时采取有效措施,针对性制定护理对策,可预防超早产儿脐静脉置管并发症的发生。
Objective To analyze major umbilical vein catheterization complications in extremely preterm infants and to propose nursing strategies accordingly. Methods The umbilical vein catheterization complications in totally 203 extremely premature infants admitted in BaYi Children's Hospital, Army General Hospital of PLA from October 2015 to October 2017 were retrospectively analyzed. Results Different complications were found in 38 patients out of the 203 extremely premature infants receiving umbilical vein catheterization, with an incidence rate of 18.71%, including 14 cases with catheter misplacement, 8 with catheter slippage, 7 with umbilical bleeding, 6 with iatrogenic skin injury, and 3 with catheter-related infection. No adverse effects were observed because effective measures were taken timely. Conclusions According to the causes of complications, effective measures should be taken in time to develop nursing strategies in a targeted manner to prevent complications of umbilical vein catheterization in super-premature infants.
作者
程莉萍
董建英
李磊
Cheng Liping;Dong Jianying;Li Lei(Very Premature Neonatal Care Unit, BaYi Children's Hospital, Army General Hospital of PLA, Beijing 100700, China;Nurisng Office, BaYi Children's Hospital, Army General Hospital of PLA, Beijing 100700, China;Extremely Premature Neonatal Care Unit, BaYi Children's Hospital, Army General Hospital of PLA, Beijing 100700, China)
出处
《中华现代护理杂志》
2019年第8期1022-1025,共4页
Chinese Journal of Modern Nursing
关键词
婴儿
早产
护理
并发症
脐静脉置管
Infants, premature
Nursing care
Complications
Umbilical vein catheterization
