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

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。

Abstract: 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.