计划性拔除双腔中心静脉导管致肺栓塞1例的护理启示

Nursing implications of pulmonary embolism caused by scheduled removal of double lumen central venouscatheter in 1 case

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DOI 10.12208/j.cn.20220473
刊名
Contemporary Nursing
年,卷(期) 2022, 3(10)
作者
作者单位

海军军医大学第三附属医院消化内科内镜科 上海 ;

摘要
对经颈内静脉置入双腔中心静脉导管的患者,给予计划性拔管导致肺栓塞1例的护理进行归纳。方法 提出进行及时冲管,给予正确封管,严格遵守拔管时的注意事项。结果 CVC置管发生堵管的概率下降,发生堵管时能做到及时拔除CVC置管。结论 为了保证CVC置管患者的安全,我们应做到当患者的双腔中心静脉导管发生堵管时,应及时拔除中心静脉导管,并加强对拔管后患者的护理及拔管后静脉栓塞的预防护理。
Abstract
Objective To summarize the nursing care of 1 case of pulmonary embolism caused by scheduled extubation in a patient with double-lumen central venous catheter inserted through the internal jugular vein. Methods To flush the tube timely, seal the tube correctly and strictly observe the matters needing attention when pulling the tube. Results The probability of CVC tube plugging decreased and the CVC tube plugging could be pulled out in time. Conclusion In order to ensure the safety of patients with CVC catheterization, we should timely remove the central venous catheter when the double-lumen central venous catheter is blocked, and strengthen the nursing care of patients after extubation and the preventive nursing care of venous embolism after extubation.
关键词
中心静脉导管;堵管;拔管;肺栓塞护理
KeyWord
central venous catheter; Blocking pipe; Extubation; Nursing care of pulmonary embolism
基金项目
页码 94-96
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张倩*,王淑萍. 计划性拔除双腔中心静脉导管致肺栓塞1例的护理启示 [J]. 当代护理. 2022; 3; (10). 94 - 96.

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