植入式静脉输液港如何维护和护理 姚亮 山西省肿瘤医院

植入式静脉输液港如何维护和护理 姚亮 山西省肿瘤医院
植入式静脉输液港护理方法如下：护士戴口罩，彻底洗手，戴无菌手套，用络合碘棉球以输液港为圆心，向外用螺旋方式擦拭，其半径约10～12厘米，重复上述步骤三次，将无损伤针，用10ml以上的一次性空针，生理盐水排气夹闭延长管，触诊定位穿刺隔，用非主力手的拇指，食指与中指做成三角形，将输液港固定，确定此三指的中点，轻柔地从输液港中点垂直插入穿刺隔，直达储液槽的底部，打开延长管的夹子，抽回血，以确定针头位置无误，用生理盐水脉冲方式冲洗输液港后，夹注延长管并分离注射器，用无菌敷料覆盖，将输液器连接延长管，放开夹子，注入药物，同时密切观察注射部位，有无渗液现象，发现异常立即停止注射，并采取相应的措施，治疗结束后用20ml生理盐水，脉冲式冲管，正压封管，加闭延长管，如无血液抽出，则可反复重复上述操作，使尿激酶在导管内停留一定时间，直至有血液抽出，要注意的是尿激酶的总量不宜超过15000u，导管通畅后，回抽5ml血液，以确保抽回所有药物和凝块。

How to maintain and nurse the implantable intravenous port
The nursing methods of implantable IV port are as follows: nurses wear masks, Wash your hands thoroughly, Wear sterile gloves, Take the infusion port as the center with the complex iodine cotton ball, Wipe outwards in a spiral way, Its radius is about 10-12 cm, Repeat the above steps three times, There will be no damage to the needle, Use more than 10ml disposable empty needle, Normal saline exhaust clamp extension tube, Palpation and location of puncture septum, With the thumb of a non dominant hand, The index and middle fingers are made into triangles, Fix the infusion port, Determine the midpoint of these three fingers, Gently insert the puncture septum vertically from the midpoint of the infusion port, To the bottom of the tank, Open the clamp of the extension tube, Draw back the blood, To make sure the needle position is correct, After washing the infusion port with normal saline pulse, Clamp the extension tube and separate the syringe, Cover with sterile dressing, Connect the infusion set to the extension tube, Let go of the clamp, Drug injection, At the same time, observe the injection site closely, Whether there is liquid seepage, Stop the injection immediately in case of any abnormality, And take corresponding measures, After treatment, 20ml normal saline was used, Pulse tube, Positive pressure seal pipe, Close the extension pipe, If no blood is drawn out, The above operations can be repeated repeatedly, Make urokinase stay in catheter for a certain time, Until blood is drawn out, It should be noted that the total amount of urokinase should not exceed 150000u, After the catheter is unobstructed, Draw back 5ml of blood, To ensure that all medications and clots are withdrawn.