肢体抬高预防套管针穿刺芯针拔出时溢血的临床观察

Su-Ling Li, Yan Jiang
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引用次数: 0

摘要

目的探讨留置安全套管针作为防止血液外溢的有效方法。方法选取2012年3 - 4月在中国医科大学附属盛京医院急诊科使用安全导尿管的患者1200例。将患者随机分为实验组和对照组。对照组采用常规方法,压迫导管尖端静脉,防止血液外溢。实验组抬高患者上肢,同时压迫导管尖端静脉。结果实验组对血液污染的处理无论在数量上还是在质量上都优于对照组。结果达到统计学显著水平(P <0.01)。结论在拔出钢针(即拔出套管针)时,抬高患者上肢并闭塞导管远端静脉可有效阻断血液溢出。
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Clinical observation on limb elevation for prevention of blood spills during withdrawal of trocar puncture core needles

Objective

The study aimed to explore a lien secure trocar as an effective method to prevent blood spills.

Methods

This study included 1200 patients, who had a safety catheter from March to April in 2012, from the emergency department of the Shengjing Hospital of China Medical University. The patients were randomly divided into an experimental group and a control group. Using a conventional method, we compressed the vein at the tip of catheter to prevent blood spillage in the control group. We raised the patient's upper limb, while compressing the vein at the tip of catheter in the experimental group.

Results

The results showed that the experimental group was better than the control group not only in quantity but also in quality regarding blood pollution. The results reached a level of statistical significance (P < 0.01).

Conclusions

Raising the patient's upper limb and occluding the vein distal to the catheter can effectively interrupt blood spillage while withdrawing the steel needle (i.e., pulling out the trocar).

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