1例动静脉内瘘扣眼穿刺处内膜增生患者的护理  

Nursing care of a case of intimal hyperplasia at buttonhole puncture site of arteriovenous fistula

作　　者：李明妍 路遥 张美斌 李思怡 LI Mingyan;LU Yao;ZHANG Meibin;LI Siyi

机构地区：[1]南方医科大学深圳医院血液透析中心,深圳市518101

出　　处：《中华护理杂志》2024年第2期170-174,共5页Chinese Journal of Nursing

基　　金：深圳市宝安区基础研究项目(2021JD372)。

摘　　要：报告1例自体动静脉内瘘患者扣眼穿刺处内膜增生的护理经验。护理要点:制订科学、合理的内瘘穿刺计划,建立和维护扣眼隧道,定期监测动静脉内瘘的使用,将传统内瘘钢针更换成血液透析用套管针进行扣眼穿刺,每次透析过程中予远红外线治疗,指导患者内瘘侧手臂外涂多磺酸粘多糖乳膏等。经过精心护理,患者扣眼穿刺处内膜增生消失,随访6个月无复发。The nursing experience of intimal hyperplasia at buttonhole puncture site in a patient with autogenous arteriovenous fistula was reported.The key points of nursing:to formulate a scientific and reasonable internal fistula puncture plan,to establish and maintain the buttonhole tunnel,to regularly monitor the use of arteriovenous fistula,to replace the traditional internal fistula steel needle(hereinafter referred to as the steel needle)with the hemodialysis trocar needle(hereinafter referred to as the trocar needle)for buttonhole puncture,to treat with far infrared ray during each dialysis,and to guide the patient to apply hirudoid cream on the arm of the fistula side.After careful nursing,the intimal hyperplasia at the buttonhole puncture site disappeared,and there was no recurrence after 6 months of follow-up.

关 键 词：血液透析 自体动静脉内瘘 内膜增生 扣眼穿刺 套管针 护理 

分 类 号：R473.5[医药卫生—护理学]