摘要
目的探讨血液透析用股动脉-股深动脉人工血管旁路术后并发症的预防及护理措施。方法回顾性总结2012年1月至2013年2月浙江省丽水市中心医院肾内科接受股动脉-股深动脉人工血管旁路术的14例血液透析患者的临床资料,重点分析术后并发症的预防及护理对策。结果 14例患者行股动脉-股深动脉人工血管旁路术后共透析700多例次,术后血流量250～350ml/min；术后发生局部皮肤感染2例（于2周后痊愈）、血管周围血肿1例（于3周后血肿消退）；术后随访示所有患者下肢感觉、运动正常,行走自如。结论以股动脉-股深动脉人工血管旁路作为血液透析通路操作时,严格执行无菌操作是预防局部皮肤感染的关键；而预防血管周围血肿的关键在于准确掌握穿刺技术；穿刺点的选择及透析后的准确按压则是预防血栓形成、血管闭塞及血管瘤的关键。
Objective To discuss the prevention and care of complications of femoral artery-deep femoral artery artificial graft for hemodialysis.Methods Clinical data of 14cases patients accepted hemodialysis were concluded retrospectively to analyze the prevention and nursing strategy of the complication after surgery.Results 14cases patients had more than 700times hemodialysis after femoral artery-deep femoral artery artificial graft,and the postoperative blood flow was 250~350ml/min.2cases had local skin infection after treatment,which were cured in 2weeks.1case had hematoma near blood,which was covered in 3 weeks.Postoperative follow-up results showed that all patients had no other complications.ConclusionStrictly aseptic operation was the key point to prevent local skin infection in femoral artery-deep femoral artery artificial Ggraft for hemodialysis,and accurately master the puncture technique was the key to prevent hematoma near blood,and the selection of puncture point and accurate press after dialysis was the key to prevent thrombosis,vascular occlusion and hemangioma.
出处
《解放军护理杂志》
CSCD
2014年第8期39-41,共3页
Nursing Journal of Chinese People's Liberation Army
基金
浙江省丽水市科技计划基金(2012JYZB83)
关键词
血液透析
股动脉-股深动脉人工血管
旁路术
并发症
护理
hemodialysis
femoral artery-deep femoral artery artificial graft
bypass operation
complication
nursing
