中心静脉导管引流胸腔积液常见并发症的原因及护理对策

目的:探讨中心静脉导管行胸腔闭式引流术治疗中等量或大量胸腔积液常见并发症的原因及护理对策。方法:对59例中等量或大量胸腔积液患者应用中心静脉导管行胸腔置管闭式引流术,观察手术的安全性、术后并发症以及预防措施。结果:59例患者均一次置管成功,其中导管滑脱2例,术后导管堵塞8例,无一例发生感染、气胸、肺复张性肺水肿等并发症。结论:中心静脉导管行胸腔闭式引流术治疗胸腔积液安全有效,护士应掌握相关知识,及时观察和加强引流管护理,可有效地减少和预防并发症的发生。

Cause and Nursing Strategy in Common Complications of Pleural Effusion Patients with Central Venous Catheter

Objective:To investigate the cause and nurse of common complications in central venous catheter treated moderate or severe pleural effusion.Methods: Fifty-nine patients with moderate or severe pleural effusion were treated with per cutem closed thoracic drainage with central venous catheters.Then,the operative safety,postoperative complications and preventive measures were observed.Result: All patients were operated successfully at first time,two cases of catheter slippage and eight cases of catheter blockage happened.No infection,pneumothorax and reexpansion pulmonary edema happened.Conclusion: Closed thoracic drainage using central venous catheter is safe and effective in treatment of pleural effusion.Related knowledge,timely observation and proper nursing of the drainage tube,could effectively reduce and prevent the occurrence of complications.