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目的探讨全髋关节置换术后引流管的观察及护理体会。方法对2014年100例行全髋置换术患者的资料进行了分析,分析术后1、2、4、8、16h的引流液数据,并分析术后引流量对机体的影响。结果髋置换术后16h的最大出血量为750ml,而最少出血量为450ml。术后1h内引流量超过150ml的占比例为67.0%;术后2h内引流量超过300ml的占了11.0%。术后4h超过300ml占了50.0%。术后8h超过450ml的占40.0%;术后16小时超过600ml的占32.0%。术后引流量较多患者,出现的不良反应症状较明显。结论髋置换术后引流早期要特别注意引流速度,切忌引流过速过多;控制伤口引流量,每小时引流量以<100ml为宜;保持引流通畅,引流管不可受压、扭曲、成角、折叠。应掌握好负压的使用时机,夹毕、开放引流管的正确时间,留给身体代偿适应的时间。
Objective To investigate the observation and nursing experience of drainage tube after total hip arthroplasty. Methods The data of 100 patients undergoing total hip arthroplasty in 2014 were analyzed. The data of drainage fluid at 1, 2, 4, 8 and 16 hours after operation were analyzed. The effect of postoperative drainage on the body was analyzed. Results The maximum amount of bleeding at 16h after hip replacement was 750ml and the minimum amount of bleeding was 450ml. Postoperative 1h drainage more than 150ml accounted for 67.0%; within 2h after drainage more than 300ml accounted for 11.0%. More than 300ml accounted for 50.0% after 4h. More than 450ml accounted for 40.0% at 8h after operation and 32.0% over 600ml at 16 hours after operation. Patients with more drainage after surgery, the adverse reaction symptoms appear more obvious. CONCLUSION: In the early stage of hip replacement, special attention should be paid to the drainage speed in the early stage of drainage, and excessive drainage should not be excessive. Controlling the drainage volume of the wound should be less than 100ml per hour. Maintaining drainage and drainage, drainage tube can not be pressured, twisted, angled, fold. Should take good time to use negative pressure, clip complete, the correct time to open the drainage tube, leaving the body to adapt to the time.