摘要
目的分析血液透析(HD)应用颈内静脉置管发生并发症的特点,以便采取对策,减少相关并发症的发生率,提高透析质量。方法对68例血液透析(HD)治疗病人用颈内静脉置管作为临时性血管通路,统计静脉置管并发症的发生率并分析原因,提出针对性护理对策。结果6例置管口皮肤感染,占8.8%;5例导管栓塞,占7.4%;9例局部渗血,占13.2%;4例导管血流不足,占5.9%。所有并发症经处理后症状消失。结论颈内静脉置管并发症的护理应以预防为主,应严格无菌操作,提高病人机体抵抗力,预防置管部位感染;加强导管血栓的预防;正确掌握肝素剂量,预防局部渗血;加强健康教育,预防导管脱落等可减少病人并发症的发生。
Objective To summarize the nursing characteristics of internal jugular vein intubation for hemodialysis patients so as to reduce the correlated complications and increase success rate of hemodialysis. Methods 68 hemodialysis patients received internal jugular vein intubation as temporary vascular passage, with its complications after internal jugular vein intubation were analyzed and the corresponding measures were conducted. Results 68 patients＇ conditions remained stable, the hemodialysis achieved good effect. Among 68 patients with the vascular infection, 5 patients were from directional pipe clogging, 9 from local bleeding, 4 patients from blood supply deficiency, accounting for 8.8%, 7.4%, 13.2%, and 5.9%, respectively. Conclusion It is of vital significance to adopt proper and effect nursing care, which can prolong use of tubes, reduce the correlated complication, increase success rate of hemodialysis and relieve patients＇ pains.
出处
《现代临床护理》
2007年第1期31-33,共3页
Modern Clinical Nursing
关键词
颈内静脉置管
血液透析
并发症
incubation at jugular vein
hemodialysis
complication
