超高壓球囊擴張術治療維持性血液透析患者動靜脈內(nèi)瘺狹窄中的護理體會
發(fā)布時間:2018-03-11 18:43
本文選題:超高壓球囊擴張術 切入點:動靜脈瘺 出處:《中國介入影像與治療學》2017年07期 論文類型:期刊論文
【摘要】:目的分析因動靜脈內(nèi)瘺狹窄行超高壓球囊擴張術的血液透析患者的護理經(jīng)驗。方法對14例動靜脈內(nèi)瘺患者行超高壓球囊擴張術,術中透視下導絲引導超高壓球囊至狹窄部位,逐級擴張。術前進行包括心理和常規(guī)護理在內(nèi)的準備,術中手術護士做好器械配合及耗材管理,術后使用扣眼式穿刺法做透析濾過清除對比劑,同時進行宣教等護理工作。結果 14例血液透析患者術后進行血濾治療測試血流量均≥250ml/min,平均(270.00±27.33)ml/min。所有患者均順利完成當次血液凈化治療,無血管破裂、出血、感染和血管栓塞發(fā)生。結論悉心護理可促進患者康復,有效提高術后治療效果。
[Abstract]:Objective to analyze the nursing experience of hemodialysis patients with arteriovenous fistula stenosis treated by ultra-high pressure balloon dilatation. Methods 14 patients with arteriovenous internal fistula were treated with ultra-high pressure balloon dilatation. Step by step dilatation. Preoperative preparation, including psychological and routine nursing care, intraoperative nurses to do a good job of equipment coordination and consumables management, after the use of piercing method to do dialysate filtration contrast agent, Results the blood flow of 14 patients with hemodialysis was 鈮,
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