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目的:分析讨论经外周静脉置入中心静脉导管(PICC)测中心静脉压(CVP)异常患者的临床护理方法。方法:选取2016年1-8月于本院接受治疗的6例经PICC测CVP异常患者作为研究对象,回顾性研究分析所有患者的临床资料。结果:2例CVP低于5 cm H_2O,且低至(2.21±1.15)cm H_2O,经过PICC大量补液(24 h补液量超过4500 m L)后CVP升至(6.08±1.25)cm H_2O;4例CVP超过12 cm H_2O,且达到(16.13±1.75)cm H_2O,在给予利尿剂和强心药物后的12~48 h CVP下降到(13.62±1.28)cm H_2O,之后给予扩血管药物,30 min后CVP降至(12.51±1.65)cm H_2O。结论:这表明经PICC测CVP可以对患者心脏功能进行充分了解,临床护理中应注重对CVP的监测护理,这不仅可以降低患者并发症发生率,提高护理满意度,还可以确保患者病情更加稳定。
OBJECTIVE: To analyze and discuss the clinical nursing of patients with abnormal central venous pressure (CVP) measured by peripherally inserted central venous catheter (PICC). Methods: Six patients with CVP abnormalities measured by PICC in our hospital from January to August, 2016 were selected as the research object, and the clinical data of all the patients were retrospectively analyzed. Results: CVP in 2 patients was lower than 5 cm H_2O and lower to (2.21 ± 1.15) cm H_2O, and CVP increased to (6.08 ± 1.25) cm H_2O after a large amount of PICC rehydration (24 h rehydration volume exceeded 4500 m L); 4 patients After CVP exceeded 12 cm H 2 O and reached (16.13 ± 1.75) cm H 2 O, CVP decreased to (13.62 ± 1.28) cm H 2 O 12 to 48 h after administration of diuretics and cardiac drugs, and vasodilators were administered after 30 min CVP dropped to (12.51 ± 1.65) cm H_2O. CONCLUSIONS: This indicates that CVP can be used to fully understand the cardiac function in patients with PICC. Care and attention should be paid to CVP in clinical nursing care, which not only can reduce the incidence of complications, improve nursing satisfaction, but also ensure the patient’s condition is more stable .