To analyze the causes and nursing points of unplanned central venous catheter extubation in patientswith severe tuberculosis
分析重症结核患者中心静脉导管非计划拔管的原因及护理要点

摘要

目的 探究使用中心静脉导管（CVC）治疗重症结核患者的非计划拔管原因及发生非计划拔管的护理要点，旨在为重症结核科室安全高效开展治疗护理工作提供帮助。方法 回顾性分析西安市胸科医院重症结核科病历资料，调取2019年1月～2023年7月在该院重症结核科接受中心静脉导管（CVC）治疗的1200例患者为对象，分析其各项临床指标及非计划拔管原因。结果 机械因素是重症结核患者CVC治疗中出现非计划拔管的最主要因素，占比达4.3%。结论 非计划拔管的发生是由多重因素共同促成，合理的风险预测和针对性干预是降低非计划拔管发生率的关键。

Abstract

Objective To explore the reasons for the use of central venous catheter (CVC) in the treatment of patients with severe tuberculosis and the nursing points of the occurrence of unplanned extubation, in order to provide help for the safe and efficient treatment and nursing of severe tuberculosis departments.
Methods The medical records of the Department of severe tuberculosis of Xi 'an Chest Hospital were retrospectively analyzed, and 1200 patients who received central venous catheter (CVC) treatment in the department of severe tuberculosis of Xi 'an Chest Hospital from January 2019 to July 2023 were selected as the objects, and their clinical indicators and reasons for unplanned extubation were analyzed.
Results Mechanical factor was the most important factor of unplanned extubation in CVC treatment of severe tuberculosis patients, accounting for 4.3%.
Conclusion   The occurrence of unplanned extubation is caused by multiple factors. Reasonable risk prediction and targeted intervention are the key to reduce the incidence of unplanned extubation.