维持性血液透析患者急性并发症的护理对策  

Nursing Countermeasures of Acute Complication of Maintenance Hemodialysis

作　　者：郭宝茹 何欢[2] 高莹[1] 

机构地区：[1]宝鸡市中心医院血液透析室,陕西宝鸡721008 [2]中国医科大学附属盛京医院超声科

出　　处：《西部中医药》2016年第8期141-142,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:探讨维持性血液透析引起的急性并发症临床特征并分析护理对策。方法:以47例需要进行维持性血液透析治疗的患者为观察对象,对血液透析出现的并发症进行具体分析,制定并实施护理对策。结果:47例患者累积行血液透析5 820次,通过相应护理后,低血压患者中的87.2%,心律失常患者中的87.2%,高血压患者89.7%,肌肉痉挛85.5%,失衡综合征88.4%,心脏骤停100.0%均消除症状继续透析。结论:对维持性血液透析急性并发症及时查明原因并处理能够有效控制病情进展维持正常透析。Objective： To discuss the clinical features of acute complications caused by maintenance hemodialysis, and analyze the nursing countermeasures. Methods： All 47 patients who needed to be treated with maintenance hemodialysis were observed as objects, complications happened in the hemodialysis were analyzed in detail, and the nursing countermeasures were made and implemented. Results： The total number of maintenance hemodialysis of the 47 patients was 5 820 times, after the corresponding care, the blood pressure of the hypotensive patients returned to normal[321times （87.2%）], the symptoms of arrhythmia disappeared[82times （87.2%）], the blood pressure of the hypertensive patients returned to normal [156 times （89.7%）], the symptoms of muscle spasm disappeared [71 times （85.5%）], the symptoms of disequilibrium syndrome disappeared [99 times （88.4%）], and the symptoms of cardiac arrest disappeared[71 times （100.0%）].Conclusion： It is effective to control the disease progression and reduce the occurrence rate of the complication when finding out the causes of acute complication of maintenance hemodialysis and dealing with them in time.

关 键 词：血液透析 维持性 并发症 护理对策 

分 类 号：R248.1[医药卫生—中医临床基础]