中国全科医学2013，Vol.16Issue(15)：1771-1773,3.DOI:10.3969/j.issn.1007-9572.2013.05.099
过敏性紫癜并发外周静脉留置针相关严重静脉炎的临床分析
Detained Peripheral Intravenous Catheter Associated Severe Phlebitis in Allergic Purpura Patients
摘要
Abstract
Objective To analyze the clinical features of detained peripheral intravenous catheter associated severe phlebitis in allergic purpura patients.Methods A total of 23 patients with allergic purpura admitted from September 2011 to May 2012 in our department were retrospectively collected and analyzed.All of them were given BD Saf - T - Intima 22 GA/24 GA or BD Intima 22 GA/24 GA for peripheral intravenous access, and then all of them were given routine nursing after puncture.Results Five cases out of the 23 had severe phlebitis [ maximum diameter of ( 7.1 ±3.6 ) cm ] at puncture site of detained catheter during the first 24 h, and the incidence of severe phlebitis was 22%.The venous transfusion of the five patients was continued by establishing transfusion path for 36 case times by using steel needle in offside limb.There were 2 case ( 6% ) times of phlebitis in the puncture site.After changing the transfusion site before finishing the treatment, no severe phlebitis was found.After finding phlebitis, the needle was withdrawn and the transfusion in the offside limb was suspended.Magnesium sulfate was used for cold moist compress within 24 h, and mucopolysaccharide polysulfate cream was used for external application after 24h.The phlebitis showed selfconfinement in the five cases and it was significantly improved in the 3 ~ 7 days before entering into healing phase.Conclusion Applying detained peripheral intravenous catheter in the beginning period of allergic purpura is the independent risk factor for severe phlebitis.When alternating to steel needle access and proper treatment, severe phlebitis is self - limiting and alleviated along with the palliation of allergic purpura.关键词
紫癜,过敏性/留置针/静脉炎Key words
Purpura, Schoenlein - Henoch/ Indewelling needle in vein/ Phlebitis分类
医药卫生引用本文复制引用
王瑞,何柳,骆欧,张铭光..过敏性紫癜并发外周静脉留置针相关严重静脉炎的临床分析[J].中国全科医学,2013,16(15):1771-1773,3.基金项目
四川省卫生厅科研课题项目(120223) （120223）
