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重症监护室患儿中心静脉导管穿刺口渗血的影响因素分析

申叶林 李亚洁 昌艳军 刘冬丽

护理学报Issue(19):19-22,4.
护理学报Issue(19):19-22,4.

重症监护室患儿中心静脉导管穿刺口渗血的影响因素分析

Influence Factors of Insertion Site Errhysis of Central Venous Catheter in Pediatric Intensive Care Unit

申叶林 1李亚洁 2昌艳军 1刘冬丽3

作者信息

  • 1. 南方医科大学南方医院,广东 广州 510515
  • 2. 广东省人民医院 广东省医学科学院,广东 广州 510080
  • 3. 广东省人民医院 广东省医学科学院,广东 广州 510080
  • 折叠

摘要

Abstract

Objective To explore the incidence and influence factors of insertion site errhysis of central venous catheter in pediatric intensive care unit. Methods A prospective study was undertaken from November 2012 to November 2013 of 413 central venous catheterizations in 364 children in a pediatric intensive care unit on a third-level first-class hospital in Guangzhou. Results Insertion site errhysis occurred in 176 cases (42.6%) with 164 cases of mild to moderate bleeding and 12 cases of severe bleeding and 29 (7.2%) began to bleeding within 24 hours after the puncture and the average time of errhysis occurrence was (4.19 ±2.95) days. CVC fixed-stitches-off, displacement, the duration of catheterization ( longer than 4 days) were risk factors of errhysis but age(3 years above) was a protective factor. Conclusion Patients’ age, the duration of catheterization and CVC-fixing are important influence factors of insertion site errhysis of central venous catheter during catheter maintenance.

关键词

中心静脉导管/渗血/儿童重症监护室

Key words

central venous catheter/errhysis/pediatric intensive care unit

分类

医药卫生

引用本文复制引用

申叶林,李亚洁,昌艳军,刘冬丽..重症监护室患儿中心静脉导管穿刺口渗血的影响因素分析[J].护理学报,2014,(19):19-22,4.

护理学报

OACSTPCD

1008-9969

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