NS  >> Vol. 3 No. 3 (July 2014)

    Nursing Experience of Jugular Vein Catheters in Hemodialysis Patients

  • 全文下载: PDF(298KB) HTML    PP.41-44   DOI: 10.12677/NS.2014.33009  
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朱 纯:中南大学湘雅二医院老年病学科,长沙

血液透析并发症护理Hemodialysis Complications Nursing



Objective: From studying nursing methods of the long-term maintenance hemodialysis patients with deep vein catheter and summarizing the nursing experience, to extend the use of long-term internal jugular vein catheters in patients with maintenance hemodialysis. Method: We retrospec-tively analyzed 41 cases of internal jugular vein catheter long-term dialysis patients and summa-rized the nursing methods influence of catheter-related complications. Results: 1 of 41 cases had systemic infection and was improved after the anti-infection treatment and using gentamycin sealing tube; 1 case had catheter exit skin infections and was controlled by using the anti-infection medicine; 7 cases had poor drainage. 6 of them were back to normal after adjusted catheter and urokinase seal tube blood flow, 1 case of them had to draw the catheter out. Conclusion: The right nursing care and use of long-term deep vein catheter can effectively reduce the catheter complica-tions of hemodialysis patients.

朱纯. 血液透析患者颈内静脉长期导管的护理体会[J]. 护理学, 2014, 3(3): 41-44. http://dx.doi.org/10.12677/NS.2014.33009


[1] Goldfarb-Rumyantzev, A.S., Syed, W., Patibandla, B.K., Narra, A., Desilva, R., Chawla, V., Hod, T. and Vin, Y. (2014) Geographic disparities in arteriovenous fistula placement in patients approaching hemodialysis in the United States. Hemodialysis International, Early View (Online Version of Record published before inclusion in an issue).
[2] Gallieni, M., Brenna, I., Brunini, F., Mezzina, N., Pasho, S. and Giordano, A. (2014) Dialysis central venous catheter types and performance. The Journal of Vascular Access, 15, S140-S146.
[3] Vates, H.S. (2012) Complications of catheters: tunneled and nontunneled. Advances in Chronic Kidney Disease, 19, 188-194.
[4] Schwab, S.J., Buller, G.L., McCann, R.L., Bollinger, R.R. and Stickel, D.L. (1988) Prospective evaluation of a dacron cuffed hemodialysis catheter for prolonged use. American Journal of Kidney Diseases, 11, 166-169.
[5] Suchoki, P., Conlon, P., Knelson, M., Harland, R.C. and Schwab, S.J. (1996) Silastic cuffed catheters for hemodialysis vascular access: Thrombolytic and mechanical correction of HD catheters malfunction. American Journal of Kidney Diseases, 28, 379-386.
[6] 戎殳, 叶朝阳, 孙丽君, 等 (2007) 46.7%枸橼酸钠溶液在血液透析患者长期留置导管封管的应用. 中华肾脏病杂志, 2, 110-112.
[7] Marr, K., Krekland, K., Seefon, D., Conlon, P., Conly, R. and Schwab, S.J. (1997) Catheter related bacteremia in hemodialysis patients. Annals of Internal Medicine, 127, 275.