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To study and explore the applications and the effects of central venous catheterization for trauma shock.

目的 分析、探讨中心静脉穿刺置管术在抢救创伤性休克中的应用和效果。

Results: 9 cases were all peripheral venipuncture patients. Before treatment, they were infused with hypertonic liquid, or treated with drugs that could produce damage to cardiovascular endothelium. The infusions were Sodium Bicarbonate 5% amino acid, Potassium Chloride and Dopamine et al. Clinical manifestation were damaged part with pain, intumesce, skin temperature decreased locally, or small vesiculation in epidermis, more severely, skin ulcerated, exudation, necrosis. No disability was seen after discharge.

结果:9例病人均为周围静脉穿刺输液患者,事前曾接受过输入高渗液体,或对血管内皮细胞产生损伤作用的药物治疗,输入液体种类依次为5%碳酸氢钠、氨基酸、氯化钾及多巴胺等;主要临床表现为患处疼痛、肿胀、局部皮温下降,或有表皮小水疱形成,严重者皮肤溃烂、渗出、坏死,经综合治疗痊愈出院,未留残疾。

ABSTRACT] Objective: To investigate the value of modified low site puncture of internal jugular vein in the children anesthesia.

目的:探讨改良低位颈内静脉穿刺术在儿童麻醉中应用的效果。

Objective: To explore the rescue effect of external jugular vein catheter and the subclavian vein catheterization infusion in patients with upper gastrointestinal bleeding,and to provide a theoretical basis for clinical care.

目的:探讨颈外静脉留置针置管和锁骨下静脉穿刺置管输液在上消化道大出血患者抢救中的应用效果,为临床护理工作提供理论依据。

Objective To investigate cause and nursing strategy of mistakable inserting internal jugular vein in subclavian venepuncture.

目的 探讨锁骨下静脉穿刺置管术误入颈内静脉的原因与护理对策。

Objective:To summarize the safety management measures for patients accepting peripherally insertion of central-venous catheterization.

总结经外周静脉穿刺置入中心静脉导管的安全管理措施。

Objective To evaluate the use of peripherally inserted central catheter in perioperative patients with abdominal malignancies for parenteral nutrition.

目的 前瞻性研究外周静脉穿刺中心静脉导管(peripherally inserted central catheter, PICC)临床应用的可行性。

Objective: To improve the nurses intravenous catheter infusion of technology, reduce duplication of venipuncture for children with some of the pain caused.

目的:提高护士的静脉留置针的输液技术,减少因重复静脉穿刺给患儿带来的痛苦。

Results: The children of nurses so that the surgery intravenous infusion catheter technology greatly improved the success rate of venipuncture up to a 96% satisfaction to 98%.

结果:使护士的儿外科静脉留置针输液技术大大提高,静脉穿刺一次成功率可达96%,满意度提高到98%以上。

Methods A total of 30 patients receiving open cholecystectomy under the general anesthesia and epidural anesthesia in our hospital were selected.The right internal jugular vein and femoral vein catheterization was performed after the anesthesia induction and intubation to continuously monitor CVP and the inferior vena cava pressure.Meanwhile, the changes in CVP, MAP, HR, IVCP before abdominal opening,upon pulling gallblad-der as well as 5 min, 10 min and 15 minutes after the opening of deep retractors were observed, recor-ded and compared.

选择在全麻加硬膜外麻醉下开腹胆囊切除手术病人30例,麻醉诱导插管后行右颈内静脉和股静脉穿刺置管,连续监测CVP和下腔静脉压,观察并记录开腹前、牵拉胆囊时、深部拉钩牵开后5、10、15 min及关腹后CVP、MAP、HR、IVCP的变化,并进行显著性检验。

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