心内直视术后有创动脉血压监测护理

目的总结心内直视术后有创血压监测的护理经验。方法回顾性分析2009年12月-2010年5月634例心内直视术后患者有创血压监测的护理过程。结果除3例患者导管脱出,2例连接不紧密,1例与测压管脱开,2例导管堵塞外,其余均未发生感染、出血、栓塞及肢体远端肿胀等并发症。结论有创血压监测是心内直视术后必不可少的监测方法,护理的重点是保持管道通畅、固定,预防感染、出血、栓塞及肢体远端肿胀。

Nursing Experiences of Invasive Blood Pressure Monitoring for Patients Having Undergone Open-heart Surgery

Objective To summarize the nursing experiences of invasive blood pressure(IBP) monitoring for patients having undergone open-heart surgery.Methods We retrospectively analyzed the IBP monitoring processes for 634 patients who had undergone open-heart surgery from December 2009 to May 2010.Results In all the 634 cases,3 had detached catheter,2 had loose connection,1 had detachment from the piezometer,and 2 had catheter obstruction.No complications like infection,hemorrhage,thrombosis or swelling of distal limb occurred.Conclusions IBP monitoring is absolutely essential for hemodynamic monitoring after open-heart surgery.The focus of nursing is to keep the catheter clear,fixed,and prevent from infection,bleeding,thrombosis and swelling of distal limb.