郭立涛,胡晓明,朱东喆,刘树静▲.1例经锁骨下中心静脉置管并发新生儿多浆膜腔积液的急救护理[J].上海护理,2018,18(6): |
1例经锁骨下中心静脉置管并发新生儿多浆膜腔积液的急救护理 |
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DOI: |
中文关键词: 新生儿 多浆膜腔积液 中心静脉置管 急救护理 |
英文关键词:neonate polyserous effusions central venous catheterization first aid care |
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中文摘要: |
目的:提高医护人员对中心静脉置管并发症的认识。方法:回顾性分析一例经锁骨下中心静脉置管并发新生儿多浆膜腔积液(胸腔积液、腹腔积液、心包积液)的诊治经过。结果:患者在治疗后期因中心静脉置管营养液渗漏,继发呼吸窘迫,拔除中心静脉导管,经心包穿刺、胸腔穿刺引流后症状缓解。结论:专科护士应熟悉中心静脉置管常见及特殊并发症的处理原则,密切观察病情,及时全面地提供对病人诊治有利的证据,提高抢救成功率。 |
英文摘要: |
Objective To improve the medical staff"s understanding of complications of central venous catheterization. Method We retrospectively analyzed the diagnosis and treatment of a patient with multiple serous cavities in the newborn through subclavian central venous catheterization. Result The patient developed an leakage of intravenous nutrient solution at the end of treatment. Respiratory distress and other symptoms occurred. The central venous catheter was removed and the symptoms were relieved by pericardial puncture and thoracic puncture drainage. Conclusion Specialized nurses should be familiar with the principles of treatment of common and special complications of central venous catheterization, closely observe the condition, provide timely and comprehensive evidence for the diagnosis and treatment of patients, and improve the success rate of rescue. |
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