ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-022 心脑血管疾病与治疗 2026, 2(05): 85-88

心肺康复科中心静脉导管血流感染的分析与质量改进措施

北京小汤山医院

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摘要

中心静脉导管(CVC)作为重症患者营养支持、循环监测及药物输注的重要通路,在临床救治中具有不可替代的作用,但随之而来的中心静脉导管相关血流感染(CLABSI),是其最为严重的并发症之一,不仅会延长患者住院时间、增加医疗费用,更可能引发脓毒症、感染性休克等严重后果,危及患者生命安全。本文结合我院1例老年重症患者发生CLABSI的临床案例,深入分析感染发生的相关危险因素,并针对性提出质量改进措施,旨在为降低临床CLABSI发生率、提升导管护理质量提供参考依据。

Abstract

As an important pathway for nutritional support, circulatory monitoring, and drug infusion in critically ill patients, the central venous catheter(CVC) plays an irreplaceable role in clinical treatment. However, the accompanying central line-associated bloodstream infection(CLABSI) is one of its most serious complications, which not only prolongs the patient's hospitalization time and increases medical costs, but also may cause serious consequences such as sepsis and septic shock, endangering the patient's life. This article reports a clinical case of an elderly critically ill patient in our hospital who developed CLABSI, deeply analyzes the relevant risk factors for infection, and proposes targeted quality improvement measures, aiming to provide reference for reducing the incidence of clinical CLABSI and improving the quality of catheter nursing.

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[1]许婵华,张颖,国荣,等.心肺康复科中心静脉导管血流感染的分析与质量改进措施[J].疾病预防与控制,2026,2(05):85-88.