摘要
目的总结肾功能衰竭尿毒症患者行人工血管动静脉内瘘手术后的临床护理方法。方法对35例肾功能衰竭尿毒症患者行人工血管动静脉内瘘手术,术后进行密切观察及精心护理。观察患者临床疗效。结果 35例患者中,术后3个月内血管通畅率100%,3个月后血栓形成3例,6个月后血栓形成5例,均行手术取栓术,术后血管通畅。2例感染患者经治疗痊愈。3周后均可在人工血管进行临床穿刺行血液透析治疗。结论人工血管动静脉内瘘通路对于自身血管条件差或无法再做自体血管造瘘的患者是非常理想的一条血液透析通路,而术后早期需要做好细致的观察和护理,后期则需要医护患三方共同协作对其进行维护,保证其通畅性。
Objective To summarize clinical nursing measures after artificial blood vessel internal arteriovenous fistula surgery for patients with kidney failure uremia. Methods A total of 35 patients with kidney failure uremia received artificial blood vessel internal arteriovenous fistula surgery, along with postoperative close observation and nursing. Their clinical effects were observed. Results The 35 cases had vascular patency rate as 100% within 3 months after operation. There were 3 thrombosis cases after 3 months and 5 cases after 6 months, and they all received operative thrombectomy, which ensured vascular patency. There were 2 infected cases cured after treatment, who received hematodialysis by clinical puncture for treatment after 3 weeks. Conclusion Artificial blood vessel internal arteriovenous fistula is an ideal hematodialysis approach for patients with poor vascular condition or incapacity for receiving autologous vascular fistula. Postoperative short-term observation and nursing, and long-term cooperation by doctor, nurse and patient are essential for keeping vascular patency.
出处
《中国实用医药》
2016年第33期171-172,共2页
China Practical Medicine
关键词
人工血管
动静脉内瘘
肾功能衰竭
尿毒症
护理
Artificial blood vessel
Internal arteriovenous fistula
Kidney failure
Uremia
Nursing
