NS  >> Vol. 3 No. 3 (July 2014)

    血液透析患者颈内静脉长期导管的护理体会
    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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作者:  

朱 纯:中南大学湘雅二医院老年病学科,长沙

关键词:
血液透析并发症护理Hemodialysis Complications Nursing

摘要:

目的:研究维持性血液透析患者的深静脉长期导管的护理方法,总结护理体会,以延长维持性血液透析患者颈内静脉长期导管的使用。方法:对41例进行颈内静脉长期置管的透析患者进行回顾性分析,总结护理方法对导管相关并发症的影响。结果:41例患者中有1例出现全身感染,经抗感染治疗,以及用庆大霉素封管后好转;1例导管出口处皮肤感染,用药后控制;7例引流不畅,6例经调整导管以及尿激酶封管溶栓后血流恢复正常,1例拔管。结论:正确使用和护理血液透析患者的深静脉长期导管,可有效减少其导管并发症发生。

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.

文章引用:
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

参考文献

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