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血液透析颈内静脉置管并发感染的预防

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摘要 目的预防血液透析颈内静脉置管并发感染,延长颈内静脉导管留置的时间。方法加强颈内静脉置管患者的置管后护理,严格执行无菌操作,并采取有效的干预措施,预防穿刺口和皮下隧道感染的发生。结果留置时间最短21天,最长1例置管347天(中途换管1次,拔管后选择另一侧颈内静脉再次置管)。局部及皮下隧道感染率情况:留置时间〈20天为4例(2.82%),20—50天14例(9.86%),50~150天18例(12.68%),留置时问在150~347天血培养阳性者5例(3.52%)。结论加强颈内静脉留置双腔导管的护理,可以延长颈内静脉留置的时间,缩短住院天数,减轻患者的痛苦和经济负担。
作者 张六连
出处 《中国保健营养(下半月)》 2009年第11期33-33,共1页 China Health Care & Nutrition
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