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[老年患者皮下输注:一项“古老”技术的重新发现]

[Subcutaneous infusions for geriatric patients: rediscovery of an "old" technique].

作者信息

Leischker A H

机构信息

Klinik für Allgemeine Innere Medizin, Onkologie und Altersmedizin, Alexianer Krefeld GmbH, Dießemer Bruch 81, 47805, Krefeld, Deutschland.

出版信息

Z Gerontol Geriatr. 2012 Oct;45(7):665-70; quiz 671-2. doi: 10.1007/s00391-012-0354-y.

Abstract

Giving fluids via the subcutaneous route is a safe and effective technique for the prophylaxis and for the treatment of dehydration. Side effects occur rarely when using this access route compared to the intravenous route, which has a much higher rate of side effects. Subcutaneous infusions can be used to treat inpatients in a hospital setting, in nursing homes, and in patients living at home. One great advantage of the subcutaneous route is that it is not necessary to have a physician to prepare a subcutaneous line, which can also be performed by trained nursing staff. Agitated patients who frequently pull out their lines themselves are a group where the subcutaneous route is particularly useful. Subcutaneous infusions can avoid the necessity for admission of geriatric patients to a hospital.

摘要

通过皮下途径给予液体是预防和治疗脱水的一种安全有效的技术。与静脉途径相比,使用这种给药途径时副作用很少发生,静脉途径的副作用发生率要高得多。皮下输注可用于医院环境中的住院患者、疗养院患者以及居家患者。皮下途径的一大优点是不需要医生来准备皮下输液管,经过培训的护理人员也可以进行操作。经常自行拔管的躁动患者是皮下途径特别有用的一类人群。皮下输注可以避免老年患者住院的必要性。

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