维持性血液透析患者长期带涤纶套深静脉留置导管的护理  

Nursing of deep venous indwelling catheter in maintenance hemodialysis patients with long-term use of dacron cuffs

作　　者：蔡月琴[1] 

机构地区：[1]江苏省扬中市人民医院血透室,江苏扬中212200

出　　处：《实用临床医药杂志》2012年第18期40-42,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨维持性血液透析患者长期带涤纶套深静脉留置导管的相关并发症及护理对策。方法对9例长期深静脉留置导管患者1296次血液透析进行回顾性分析和总结。结果在规范血液净化操作规程,实施导管维护流程的情况下,2例发生轻度感染,及时控制,无1例拔管。结论通过有效的预防和护理,长期带涤纶套深静脉留置导管的可能出现的导管血栓形成、导管感染等并发症明显减少,延长了置管时间,减少了患者的痛苦及治疗费用。Objective To explore the complications of deep venous indwelling catheter in maintenance hemodialysis patients with long - term use of dacron cuffs and the corresponding nurs- ing countermeasures. Methods A total of 1296 times of hemodialysis in 9 patients with long - term deep venous indwelling catheter were retrospectively analyzed and summarized. Results With stan- dard blood purification procedures and catheter maintenance processes, 2 patients were mildly infect- ed with timely control. No case of extubation was observed. Conclusion With effective prevention and nursing, we can significantly reduce the complications such as catheter thrombosis and catheter infection occurred in the long- term deep venous indwelling catheterization with dacron cuffs, pro- long the catheterization duration, relieve the patients＇suffering and reduce the treatment costs.

关 键 词：血液透析 长期深静脉留置导管 护理 

分 类 号：R472.9[医药卫生—护理学]