摘要
目的 对40例门静脉高压患者行腹壁残静脉留置针穿刺从不同侧面评价留置效果。方法 以第四代“Y”型留置套管针,根据被选静脉血流方向,依靠左食、拇指的辅助作用,以10°～15°进针见血后妥然固定。结果观察组的腹壁浅静脉充盈度、可穿刺静脉数目非常明显优于对照组(P<0.01);其自然回血率、再次置管率明显高于对照组(P<0.05);以生理盐水对封管结果无明显影响(P>0.05)。结论 门静脉高压有广泛腹壁浅静脉侧支循环的建立与开放的病理基础,为浅静脉留置针穿刺提供了穿刺途径。
Objective To evaluate the effect of puncture by abdominal wall superficial vein indweuing tuberfrom different view. Method 40 patients with portal vein hypertension were selected and punctured by abdominal wall superficial vein by the forth generation ' Y' style indweuing tuber, supported by thumb then insertion and fixing. Effect was observed and compared. Results the extent of filling of abdominal wall superficial and number of veinsuit-able for puncture in experimental group is better than that of control group. (P<0. 01). The rate of natural blood reflux and rate of re-indweuing is higher remarkably than that of control group. (P<0. 05). There is no remark-ableeffect for blocking rate by physiological saline (P>0. 05). Conclusion There is suitable based and ways for puncture in abdominal wall superficial vein for patient with portal hypertension, four main points should be mastered based the characteristic of abdominal wall superficial vein.
出处
《护士进修杂志》
北大核心
2003年第10期884-885,共2页
Journal of Nurses Training
关键词
腹壁浅静脉
留置套管
门静脉高压
效果
Abdominal wall superficial vein Indweuing tuber Portal hypertension Effect
