带涤纶环长期双腔导管在血液透析中的应用与护理  

Application and nursing care of dual-lumen indwelling cuffed catheter in hemodialysis

作　　者：唐春苑[1] 叶晓青[1] 冯怿霞[1] 王饶萍[1] 张舜英[1] 宋春辉[1] 

机构地区：[1]中山大学附属一院肾内科血液净化中心,广州510080

出　　处：《中华现代护理杂志》2010年第4期408-410,共3页Chinese Journal of Modern Nursing

摘　　要：目的总结带涤纶环（CuFF）长期双腔导管在血液透析中的使用情况，分析留置导管使用过程中常见并发症的原因，提高置管、使用、护理的认识，延长使用寿命。方法随访在我院血液净化中心留置长期导管患者的使用情况和并发症，记录导管使用终点。结果共计49例患者（53例次），其中颈内静脉48例次，股静脉5例次。导管平均留置时间为（9．32±8．11）个月，最长达33个月。观察记录使用终点22例次，其中死亡11例，肾移植4例，导管脱出3例，感染2例，破裂及位置欠妥各1例，其余患者仍在继续使用。结论带CuFF长期双腔导管使用时间长，感染率低，可满足血液透析要求，加强对导管使用过程的规范化管理，积极健康教育和护理也极其重要。Objective To improve the understanding of tube insertion, using and nursing, summarize the using of dual-lumen indwelling cuffed catheter in hemodialysis and analyze the cause of the common complications. Methods The patients in Hemopurification Center of our hospital were followed up to investigate the using and the complication, and the use of the endpoint was recorded. Results A total of forty-nine patients （53 cases ） dialyzed by internal jugular veins for 48, and femoral veins for 5. The average duration of catheterization was （9.32 ± 8.11 ） months, while the longest figure record was 33 months. The endpoint of catheterization of 22 patients was studied, of whom 11 due to death, 4 renal transplantations, 3 catheter herniation, 2 infections, l damage and 1 malposition. The others are still used. Conclusions Dual-lumen indwelling cuffed catheter can meet the requirements of hemodialysis because it has a long duration and low rates of infections. It＇ s very important that effort to standardizing management, health education and nursing care of catheter.

关 键 词：长期导管 涤纶环 血液透析 护理 

分 类 号：R473.5[医药卫生—护理学]