静脉套管的使用与血栓性静脉炎的发生。

The use of intravenous cannulae and the occurrence of thrombophlebitis.

作者信息

van den Broek P J, de Herder-Swinkels J M, Moffie B G, van den Berg W H, Hermans J

机构信息

Department of Infectious Diseases, University of Leiden, The Netherlands.

出版信息

J Hosp Infect. 1989 Jan;13(1):43-53. doi: 10.1016/0195-6701(89)90094-7.

DOI:10.1016/0195-6701(89)90094-7

PMID:2564017

Abstract

The occurrence of thrombophlebitis in a coronary care unit was studied in relation to the use of short plastic intravenous cannulae. The incidence of thrombophlebitis was 51% in cases where cannulae were used for continuous infusion of glucose 5% and 13% for cannulae which were locked after the injection of heparin. Only one case of infectious thrombophlebitis was seen. The other cases of thrombophlebitis had a chemical or mechanical aetiology. Replacement of glucose 5% by a NaCl 0.9% solution for continuous infusion reduced the incidence of thrombophlebitis to 33%. Heparin-locked cannulae, to provide rapid access to the patient's circulation, proved to be a safe alternative to continuous infusion.

摘要

在冠心病监护病房中，研究了与使用短塑料静脉套管相关的血栓性静脉炎的发生情况。在使用套管持续输注5%葡萄糖的病例中，血栓性静脉炎的发生率为51%，而在注射肝素后锁定的套管中，该发生率为13%。仅观察到1例感染性血栓性静脉炎。其他血栓性静脉炎病例具有化学或机械性病因。将持续输注的5%葡萄糖溶液换成0.9%氯化钠溶液可将血栓性静脉炎的发生率降至33%。事实证明，为便于快速接入患者循环系统而采用的肝素锁定套管是持续输注的一种安全替代方法。