摘要
目的探讨血液透析患者人造血管内瘘闭塞后溶栓治疗的护理方法。方法采用尿激酶溶栓和肝素钠抗凝治疗,同时在治疗前后采取针对性护理措施。结果 98例人造血管内瘘患者中,对11例18例次出现人造血管内瘘闭塞的患者采用尿激酶溶栓治疗,14例次溶栓成功、内瘘恢复血流,4例次溶栓无效后经Fogarty导管取栓治疗恢复内瘘功能,其中除2例次出现穿刺点出血外,其他未见并发症。结论人造血管内瘘闭塞后采取针对性的治疗及护理措施,是提高人造血管内瘘溶栓成功率的关键。
Objective To explore the nursing care of hemodialysis patients receiving thrombolytic therapy for the treatment of occlusion of arteriovenous graft fistula. Method The patients with occlusion of arteriovenous graft fistula received thrombolytic therapy with urokinase and anticoagulant therapy with heparin sodium as well as proper nursing care during the treatment. Results Among the 98 patients with arteriovenous graft fistula,occlusion happened 18 times in 11 patients. After thrombolytic therapy with urokinase,blood flow of fistula restored 14 times,and the others were treated by Fogarty catheter thrombeetomy, but two cases suffered from bleeding on the puncture site. Conclusion Proper and timely treatment and nursing care for graft fistula occlusion are key points to improve the success rate of fistula thrombolysis.
出处
《中华护理杂志》
CSCD
北大核心
2012年第11期992-994,共3页
Chinese Journal of Nursing
关键词
血液透析
移植物闭塞
血管
护理
Hemodialysis
Graft Occlusion,Vascular
Nursing Care
