动静脉内瘘早期阻塞的防治及护理.pdfVIP

2009 6 9 6 M odern H osp ital Jun 2009V ol 9 N o 6 95 李惜华 杨泽婉 PREVENT ION A ND T REA TM ENT O F A RT ER IOV ENOUS F ISTULA EA R LY OBST RUCT ION A ND ITS NURS ING L I X ihua, YANG Z ew an 探讨自体动静脉内瘘早期阻塞的防治和护理对策 对 54 例动静脉内瘘术后 早期应 低分子肝素钠喜疗妥软膏外涂, 改善病人营养状况, 避免低血压的发生以及做好内瘘术前术后护 理, 预防内瘘阻塞的发生 54例自体动静脉内瘘中发生血管内瘘阻塞 5例, 发生率 9. 26% 在 内瘘使 早期应 低分子肝素钠皮下注射喜疗妥软膏外涂, 改善病人营养状况, 避免低血压的发生以及正确 的护理和健康宣教, 都是预防内瘘发生阻塞的重要措施 动静脉内瘘 早期阻塞 防治 护理 A b stract O bjective T o study the prevention of self- arteriovenous fistula early obstruction and nu rsin re- sponses. M e thods For 54 cases of fistula, early application of low - m olecular- w ei ht heparin and H irudoid oin-t m ent, mi provem ent of the nutritional status of the patient, avoid the occurrence of low blood pressure, as well as do- in a ood job w ith fistula preoperative and postoperative care, etc. to prevent fistula obstruction occurrence. Resu lts CAm on 54 patients w ith arteriovenous fistula 5 cases occurred blocka e of fistu la, the incidence is 9. 26 percent. Conc lu sion Early use low - molecu lar - wei ht heparin subcutaneous injection, ointm ent external application, mi - prove the nu tritional status of the patient and avoid the occurrence of low blood pressure, as w ell as the ri ht health care and education are mi portan tm easures to prevent fistula block in occurred. K ey w ords A rteriovenous fistu la, Early obstructive, Prevention, Nursin A u thors address Chaozhou H osp ital, Chaozhou C ity, Guan don Province 521011 PRC do :i 10. 3969 /.j issn. 167 1- 332X. 2009. 06. 050 , , , , [ 1] , , , , , , , [2] , , 1 1 ,