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).
被以下文章引用:
-
标题:
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
作者:
朱纯
关键字:
血液透析, 并发症, 护理Hemodialysis, Complications, Nursing
期刊名称:
《Nursing Science》, Vol.3 No.3, 2014-07-21
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.