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目的探讨脐静脉置管术在极低出生体重儿的护理方法。方法随机选取2015年1月-2016年12月本院极低出生体重儿20例,总结脐静脉置管术的护理措施。结果 20例行脐静脉置管术全部穿刺成功,留置导管时间为3-14d,其中1例放弃治疗,19例按原计划拔管,均未发生并发症。结论脐静脉插管术创伤小,操作简便,对极低出生体重儿住院早期的静脉营养治疗与抢救是有利的,显著缓解了患儿的痛苦,在实际的操作中严格执行护理规程与严密观察患儿的病情是插管留置术成功的保证。
Objective To investigate the nursing method of umbilical vein catheterization in very low birth weight infants. Methods Twenty patients with very low birth weight in our hospital from January 2015 to December 2016 were selected randomly to summarize the nursing measures of umbilical vein catheterization. Results Twenty cases underwent umbilical vein catheterization successfully. The catheterization time was 3-14 days, of which 1 case was given up treatment and 19 cases were extubated as planned. No complications occurred. Conclusions Umbilical vein catheterization is small and easy to operate. It is beneficial to early hospitalized patients with very low birth weight to be treated with parenteral nutrition and to rescue patients. It significantly relieves the pain of children and strictly enforces the nursing procedure and strict observation in actual operation The condition of the child is a guarantee of success of intubation.