摘要
目的探讨自体动静脉内瘘穿刺后并发医源性动脉瘤的原因和护理措施。方法对13例自体动静脉内瘘穿刺后合并动脉瘤的原因进行分析,并根据病情给予相应护理。结果13例中5例给予手术切除,其余8例采取保守治疗,均获得满意效果。结论医源性动脉瘤是因手术方式及长期反复穿刺自体动静脉内瘘造成的严重并发症,关键在于预防,应根据患者内瘘具体情况选择合理的操作方式,加强护理,预防早期动脉瘤,减少并发症发生。
Objective To explore causes of iatrogenic aneurysm complicating autogenous arteriovenous fistula and countermeasures. Methods Thirteen patients suffered iatrogenic aneurysm after formation of autologous arteriovenous fistula, causes of iatrogenic aneurysm were analyzed and corresponding nursing care was provided according to patients＇ conditions. Results Five of them received operations, and the rest were given conservative treatment. All patients obtained satisfactory results. Conclusion Iatrogenic aneurysm is a severe complication resulting from surgery types and repeated punctures of the autologous arteriovenous fistula, and the key point is prevention. We should choose an appropriate operation mode and strengthen nursing care to prevent iatrogenic aneurysm and to reduce complications.
关键词
血液透析
自体动静脉内瘘
动脉瘤
预防
护理
hemodialysis
autologous arteriovenous fistula
aneurysm prevention
nursing
