873kk在线免费观看

大石桥市中心医院
0417-5613116

护士,这尿管怎么老漏尿?有什么办法没?

【 字体:
2019-08-14 08:34:46  阅读次数:1978 次

 

dingyi

留置尿管后,安静状态、膀胱充盈情况下未夹尿管或夹住尿管后,尿液自然沿尿道口渗出,出现“尿裤”或“尿床”现象即可判断为漏尿。


daoniaoguanlouniaoyudaoniaoguanzusai、daoniaoguanhuoyinliuguanzhedieniuqu、daoniaoguanxinghaoguoda、qinangzhuruyetiliangguoduo、jiaguanshijianguozhang、bangguangguoduhuoyue、niaoluganran、bianmijiqitayuanyinyouguan[2-3]。qizhongdaoniaoguanyinliubuchanghebangguangjingluanshiyinqidaoniaoguanlouniaodeliangdazhuyaoyuanyin!

yuanyinfenxijiduice

1导尿管阻塞、引流不畅


1.1  原因分析


youyuhuanzhetiweibudanghuoyinliudaifangzhibudangzhishiniaoguanniuqu、shouya、zhedie,yijijixingxijunxingganran、niaoyehunzhuo、zazhichendianhuoxueningkuaidusai,yijizhangqiliuzhidaoniaoguanweidingqigenghuan、chongxi、sheruyetiliangguoshaoyinqidegaiyanchenjidaozhiniaoguandusaiyinliubuchangeryinqilouniao[4]。


873kk在线免费观看 jinxingbangguanggongnengxunliandebingrenjiabiniaoguan,tebieshizaiyingyongliniaojihuodaliangshuyeshi,weijishipinggubingrenbangguangneiniaoliang,meiyoujishikaifangniaoguan。dangbangguangneichuniaodaoyidingyalishi,niaoyeyandaoniaoguanliuchuxingchenglouniao[5]。


1.2  护理对策


873kk在线免费观看 liuzhiniaoguanhuanzhejingchangjianchadaoniaoguanyouwushouyajiniuqu,yinliudaiweizhibixuweiyubangguangxia50cm。ruwubingqingxianzhigulihuanzheduoyinshui,meitianyinshuiliang>2500ml,yishenglixingfangfachongxibangguang。


zhangqiliuzhiniaoguanhuanzhe,yidanfaxianyouchendianwujishibangguangchongxihuogenghuanniaoguan。biyaoshi[6]tansuanqingna100~200mlchongxibangguangyufanggaiyanchenji,huokoufutansuanqingnapianjianhuaniaoyejianshaonianyefenmi,baochiniaoguanyinliutongchangfangzhiniaogoudexingcheng。


2膀胱痉挛


2.1  原因分析[7] 


873kk在线免费观看 zhuyaoshizhiyinbangguangguoduhuoyueeryinqidelouniao。bangguangguoduhuodongzhengshiyinfeishenjingyuanxingyinsuyinqidebiniaojibuwendingxingshousuoyijishenjingyuanxingyinsuyinqidebiniaojifanshekangjinerdaozhideyizuniaopin、niaojihejipoxingniaoshijinzhenghouqun。louniaoshibanniaojigan,niaoliusudukuai,chengzhixian。


biniaojixianweihuaerzhibangguangshunyingxingjiandi、biniaojishousun、biniaojibuwending、biniaojituihuashiyinqibuwendingxingbangguangdezuichangjianyuanyin。naoxueguanyiwai、jisuijihuandengzhongshushenjingxitongjibingshiyinqibiniaojifanshekangjindezhuyaoyuanyin[8]。 


bangguangsanjiaoqujibangguangjingbunianmoduicijimingan,renheyiwujiyanzhengcijijunkeyinqiniaoji、niaotonghehuiyinbubushi[9]。


liuzhidaoniaoguanqijian,daoniaoguanqianduanjiqinangjunkeduigaibuweichanshengjixiexingciji,yinqibangguangjingluan。


fashengbangguangjingluanshi,niaoyebunengjingdaoniaoguanyinliukoupaichu,zhinengjingdaoniaoguanbiheniaodaonianmozhijianpaichu,fashenglouniao[8]。cileibingren,bangguangneiyalizenggao,shenzhikechuxianshangniaolufanliuxianxiang,linchuangshangyingzhuyipaichu。


2.2  护理对策


bangguangbiniaojideshousuoshoudanjiannengshoutikongzhi,jiushisuantuoteluodingshiyileijingzhengxingmdanjianshoutizuzhiji,nengyouxiaoyizhibangguangdebuzizhujielvxingshousuo[10]。danyingyongkangdanjianyaowushiyaozhuyiyaowudebuliangfanying,rukougan、exin、outudeng。


873kk在线免费观看 daoniaoguanxinghaoyuexiao,guanjingyuexi,duiniaodaonianmohebangguangjingdecijiyeyuexiao[11]。zaibushidaoniaoguantuochuyouyouzuijiadaoniaoxiaoguodeqiantixia,kejianshaoqinangneiyetihuoqitihuoshiyongqinangrongjijiaoxiaodedaoniaoguan,bimianqinangyubangguangbizhijiejiechu,daozhibangguangjirouguodushousuo[12]。


youdaliangyanjiubiaoming,linchuangshangzhangqiliuzhidaoniaoguanhuanzhebannanzhixingniaoluganranyushengwumodexingchengyouguan[13]。genghuanxindedaoniaoguankequchuyixingchengdeshengwumo,tongshi,yingyongkangshengsukongzhiganran,kejianshaoniaoluganranduibangguangdeciji,kongzhilouniao。


873kk在线免费观看 tongshi,zaijinxingbangguangchongxishidiaojiechongxiyewendu,shizhijiejintiwen,youqishihanlengdedongji,yijianshaoduibangguangdelengciji,youxiaoyufangbangguangjingluandefasheng[14]。


3病理生理因素


3.1  原因分析[14]


cileibingrenyinshenglituixingxingbianhuaerdaozhilouniao,changjianyulaonianjizhangqiwochuanghuanzhe,changjianyuanyinyouniaodaokuoyuejisongchi、qianliexianzengsheng、bangguangjiegou、ronglianggaibian,yijibianmidaozhibangguangneiyazenggaodeng。


① laonianhuanzheyinjisuxiajiangkefashengniaodaokouweisuo,niaodaosongchi,wangwanghuiyindaoniaoguanxinghaoguoxiao、niaoguanguoxiyuniaodaobunengwanquanwenheerdaozhiniaoyewaishen。cileiyuanyinhuanzhelouniaoshiwangwangniaoliusudujiaoman,shechengduan。tongshi,laonianjizhangqiwochuanghuanzhe,zainiaodaojinzhangdujiangdi、funeiyazenggaodeqingkuangxia,runiaoguanjiabi,niaoyehuijingniaodaoshenniao;rubujiabi,niaoyejingniaoguanpaichuhuotongshibanniaodaokouyiniao;erniaoguanjiabishijianguozhang,zegengyifashenglouniao。


873kk在线免费观看 ② 60suiyishangdenanxingchangyoubutongchengduqianliexianzengsheng,zheishizaochengjixiexinggengzuxingniaozhuliudezhuyaoyuanyin。youyuqianliexianzengsheng,zhiguankunnan,qinangchongyingqianweinengquerenjinrubangguang,qinangqiandunyuniaodao,yaponiaodaoerzhinianmochuxue、huaisi,huaisiwuzusainiaoguan,yinqilouniao。tongshi,youyubutongchengdudeqianliexianzengsheng,zaidaoniaoshikebutongchengdudisunshangniaodao,daozhichuxue,ningxuekuaiyizusainiaoguan,daozhilouniao。


873kk在线免费观看 ③ bangguangjiegou、rongliangdebianhua,youyushenglixingshuailao,50suiyishangrenqunbangguangrongliangjiao20suijianshao40%zuoyou[15],qiunangneizhuyeliangyeshidangjianshao。


④ bianmihuanzhepaibianfeilishihuidaozhifuneiyazenggao,congerdaozhibangguangneiyazenggao,shibiniaojishousuo,daozhiniaoyeyanniaoguanyichu。



3.2  护理对策  


873kk在线免费观看 ① xuanzeheshiniaoguan[16]:chengrenyi 18-24haoweiyi,qingshaonianzeyi12-16haoweiyi。nanxinglaonianbingren,youqishihuanyouqianliexianfeidazhe,yinniaodaomobujiaoxiazhai,kexuanzeshiyongxiangduijiaoxiaoxinghaodeshuangqiangqinangdaoniaoguan。nianlaotiruo,zhangqiwochuangdenvxinghuanzheyouyuhuiyinbujiroudanxingjiaocha,niaodaokuoyuejijiaosongchi,daoniaoshiyingxuanzexiangduijiaodaxinghaodeniaoguan,zheiyangjikeyifangzhilouniao,younengbaozhengniaoguantongchang,buyidusai。


② niaodaokuoyuejisongchihuanzhe,zaizhudonghuobeidongxiayingjiaqiangpendijixunlian。


873kk在线免费观看 ③ jiejuebianmiwenti。[16]chuantongdaoniaofazhongdaoniaoguancharudezhangdu,nanxingyue20-22cm,nvxingyue4-6cm,jianniaoyeliuchuzaicharu1cm。danjingceliangqinangdaoniaoguanzhongqinangdezuidiweiyuniaoguanjianduanzhang5cm,ruozhaochuantongdaoniaofadezhangducharushuangqiangqinangdaoniaoguan,zeqinangzhenghaoweiyumobuniaodaonei,qinangchongyingshibiranzaochengniaodaoguodukuozhang,yapohesiliedengbingfazheng。yinci,zaishiyongshuangqiangqinangdaoniaoguanshizhiruniaoguandezhangduyingweiniaodaozhangdujiaqinangyuanduanzhiniaoguanjianduandezhangdu(5cm),jinvxingbingrenyongshuangqiangqinangdaoniaoguancharudezhangduyue 10cm,nanxingbingrenyongshuangqiangqinangdaoniaoguancharudezhangduyue25cm,yinshuangqiangqinangdaoniaoguanwukedubiaoji,guzaishiyongshi,daiqinangchongyinghoushunniaodaoxiangwaiqianladaoniaoguandaoyouzulishi,jiweigainiaoguancharudezuijiazhangdu。


4气囊内注水量不当


4.1  原因分析


liuzhidaoniaoshi,qinangzhuruliangdeduoshaoyulouniaodefashengzhijiexiangguan。zhuruliangguoshao,louniaojituoguanfashenglvmingxianzengjia[17]。


erqinangneizhuruliangguoduoshi,qinangduiniaodaoneikou,bangguangjingyaliguoda,yizhibangguangjingluan,shibingrenchanshengpainiaoganjue,bushiyonglipainiaoerdaozhilouniaofasheng[5]。qiezhuruliangguokuaiguoduo,yidaozhiniaodaoneikoukuoyuejishoudaojiyaertengtong[18]。


873kk在线免费观看 tongshi,zhuruyeliangyueduo,gudingshijianyuezhang,qinanghuisuojiuyuecha[19],yidaozhibaguankunnan。


4.2  护理对策


dangniaoguanxinghaoxuanzeheshi,paichukeguanlouniaoxiangguanyinsuhou,zhongdianzaidiaozhengqinangzhushuiliang[4]。


873kk在线免费观看 [5]qinangzhuruliangtiwaishiyanzhengshi:16fshuangqiangqinangdaoniaoguanqinangneizhuruliang 10ml、15ml、20mlhou,fenbiexingchenghengxiangzhijingwei 2.5cm、2.8cm、3.0cmdetuoyuanxingnangqiang,suizhushuiliangjixuzengjianangqiangchengzhangtuoyuanxing,hengxiangzhijingzengjiabumingxian。zaizhuruliang20mlyixiashi,nangqiangneizhuruliangyueduo,nangqianghengxiangzhijingyueda,nangqiuyuebaoman,yuniaodaoneikoutieheyuejinmi,qiebuyituochu。


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