CAJ | 학술논문

目的总结8例血液透析用动静脉内瘘发生急性血栓,行置管溶栓治疗的护理配合.方法对患者进行局部置管碎栓后,再用尿激酶团注结合微泵持续溶栓.结果患者能积极配合置管溶栓,内瘘均能再通.结论本方法血栓发生时间短,操作简单、不良反应小、效果满意.
목적 총결8례혈액투석용동정맥내루발생급성혈전,행치관용전치료적호리배합.방법 대환자진행국부치관쇄전후,재용뇨격매단주결합미빙지속용전.결과 환자능적겁배합치관용전,내루균능재통.결론 본방법혈전발생시간단,조작간단、불량반응소、효과만의.
Objective To summarize the experience of the nursing care of indwelling catheter thrombolysis for acute thrombosis in the arteriovenous fistula in eight hemodialysis patients.Methods After breaking thrombus through indwelling catheter,both bolus injection and micro-pump continuous infusion of urokinase was employed in eight hemodialysis patients with acute thrombosis in the arteriovenous fistula.The necessary nursing measures were carried out to assist the whole therapeutic procedure.Results All the patients could well cooperate with the procedure of indwelling catheter thrombolysis and urokinase infusion.The reopening rate of the obstructed fistula was 100%.Conclusion Indwelling catheter thrombolysis with urokinase infusion is a simple,effective and safe treatment for acute thrombosis in the arteriovenous fistula in hemodialysis patients.In order to obtain optimal results,necessary nursing measures must be carried out.