78例血液透析病人颈内长期留置导管常见并发症观察与护理  

Observation and nursing of common complications 78 hemodialysis patients with long-term indwelling catheter internal carotid

作　　者：王久萍[1] 尚琳[1] 王恒进[1] 周莲茹[2] 

机构地区：[1]南京大学医学院附属鼓楼医院血液净化室,210008 [2]河北省儿童医院

出　　处：《护理实践与研究》2011年第21期40-41,共2页Nursing Practice and Research

摘　　要：目的:探讨血液透析病人颈内长期留置导管并发症的防治与护理,以延长导管留置时间。方法:对78例经皮下隧道颈内静脉长期留置导管病人进行回顾性分析,总结预防导管并发症发生的护理经验。结果:78例病人中,经颈内静脉入路74例(右71例,左3例),颈外静脉及锁骨下静脉各2例。除1例病人脑梗塞,1例肺部感染死亡,其余导管均正常使用。出现导管内血栓形成或流量不足11例,经溶栓、导管调整均再通;感染10例,发生率3.61例次/1000导管日,抗感染治疗后炎症消失。结论:血液透析护士执行各项护理时应严格无菌操作,掌握置入导管的常规护理,规范操作流程,注意心理护理及健康教育,减少导管并发症的发生。Objective：To explore the internal jugular long-term hemodialysis patients indwelling catheter with care,prevention and control of the complications of extended time catheter lien.Methods：78 patients with subcutaneous tunnel internal jugular vein long-term indwelling catheter patients were retrospectively analysis,the article prevention catheter complication nursing experience.Results：78 patients of internal jugular vein,the road 74 cases（right in 71 cases,left 3 cases）,external jugular vein and subclavian vein each in 2 cases.In addition to one patient cerebral infarction,1 case lung infection,and the rest were in death catheter use.Appeared intraductal thrombosis or insufficient flow 11 cases,the thrombolysis,adjust the catheter are again.10 cases of infection rates,3.61 times/1000 catheter,anti-infection treatment,after inflammation disappear.Conclusion：Blood dialysis nurse in implementing various care should be strict aseptic manipulation,master of conventional care into the catheter,regulate the operation process,pay attention to the psychological health education,nursing and reduce catheter complications.

关 键 词：血液透析 留置导管 并发症 护理 

分 类 号：R473.5[医药卫生—护理学]