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asbryobvrz · Wysłany: Śro 13:20, 09 Mar 2011

Intervention in children with congenital heart disease after cord-like gauze and hemostatic effect of compression pressure evaluation of the wound

4cm sterile gauze,[link widoczny dla zalogowanych], if 1. Plastic Bai 1.2.2 Methods: 70 routine intervention therapy were randomly divided into 3 groups. Cord-like gauze group 3O cases. Sandbag group 2O cases, the finger directly compression group 2O cases. Intervention is completed, the conventional cover the wound with sterile gauze. Column F by a method to stop bleeding. Cord-like group: no shadow of gauze into a cord-like. Wrapped with plastic sheets plus cover. It has a certain hardness and tension. I side in the puncture of a 0.5cm placed. Excellent coverage of a force of about 40cm comfortable bandage. Digital compression 23 hours. Sandbags group: a sterile gauze bandage roll Bubo home side, right anterior superior iliac spine along the operative side dressing two weeks around the thigh to the left anterior superior iliac spine, the waist of the order of 2 units of packed: 325000 Wenzhou. Medical College,[link widoczny dla zalogowanych], Wenzhou, Zhejiang Yuying Children's Hospital He Xu Hong Ji _1 _ 『. Then roll the top of a rectangular pressure bandage placed sandbags 6 hours of direct force finger Group: direct pressure with a finger puncture site 23 hours. Standard 1.2.3 to determine bleeding: bleeding in the skin: After pressing pull catheter. Skin and eye of a needle can be seen m liquid overflow. Subcutaneous hemorrhage: After pressing needle injection,[link widoczny dla zalogowanych], subcutaneous hematoma or ecchymosis formation. 1.2.4 Clinical observation: within 2 hours after 3O minutes to observe the 1 per puncture site dressings with or without bleeding. And observe the body's temperature, the dorsalis pedis arterial pulse situation. Monitoring vital signs,[link widoczny dla zalogowanych], SPO changes. 1.2.5 Statistical analysis: count data of each group to test different methods 1.3 Results 1_3.13 group of femoral artery,[link widoczny dla zalogowanych], femoral vein puncture site hemostasis local effect: cord-like gauze group infiltration 【【【1 f cases. Sandbags 7 patients, 5 cases of direct pressure finger cords gauze set of concurrent bleeding group was significantly lower than sandbags and fingers direct compression group. × value by continuous correction method was P <0.01. Concurrent hematoma group was significantly lower than sandbags and fingers direct compression group, with x values of continuous calibration method was P <0.05. l3.23 group of different methods of femoral artery, femoral vein puncture only the local compression time of 『l Ⅱ: group of cord-like gauze to stop bleeding for 2 to 3 hours. Sandbag group 6 hours. Direct finger pressure group 23 hours. Cord-like gauze group and the fingers directly, a lack of time to force the group to stop bleeding ten sandbags group 2 was significantly less discussion of intervention therapy in the routine use of anticoagulant drug heparin ... is. Its role is to inhibit the coagulation f 【【【zymogen enzyme formation. Interfere with the role of thrombin and prevent platelet aggregation and destruction. Easily lead to postoperative wound oozing and bleeding. So after the exclusion of the puncture site is important to force haemostasis. Method using sandbags to stop bleeding, it is usually the first Chuan bandage was Elastic difficult to control, tight blood circulation of lower limbs. Sundarbans less than hemostasis. Le abdomen tight bandages and pain in children, complicated by bowel problems, back pain. Sandbags poor stability, not only increasing the psychological pressure on children. Health nurses to increase the intensity of work. Not easy to cause the shift control. Detachment complicated bleeding. In addition, this method of time compression for up to 6 hours. Limb surgery and required brake 8 hours. This method applies only to older children. Direct compression method, while the fingers of time in the oppression of cord-like group with little difference. However, the disadvantage of this method is difficult to determine the compression site. Difficult to focus on finger, Shouli Bu uniform. And children with poor compliance, lower pain tolerance. Easily lead to local hematoma, a m cords and other complications and gauze to stop bleeding effect group was significantly better than the other two. And the oppression of a short time. Pressure area is reduced. Makes the reduction of finger force (based on the principle of physics: pressure = pressure / area), can be a long time to stop bleeding complication of this rude. Simple, inexpensive, can reduce the waste of resources. Reduce pain in children. Improve the quality of life of children, improve job satisfaction. For nurses to reduce some of the workload. Worthy