中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
34期
4145-4146
,共2页
血液透析%血栓%尿激酶%中心静脉置管%溶栓法
血液透析%血栓%尿激酶%中心靜脈置管%溶栓法
혈액투석%혈전%뇨격매%중심정맥치관%용전법
Hemodialysis%Thrombus%Urokinase%Central venous catheter%Thrombolysis method
目的 探讨采用尿激酶定期交替溶栓对维持血液透析患者中心静脉长期置管通畅性的效果.方法 选择23例带Cuff中心静脉置管的血液透析患者,形成导管血栓后,采用尿激酶以管内封管溶栓和微量泵泵入持续溶栓分别进行溶栓治疗,溶栓成功后继续进行定期、交替、规律治疗,观察其持续通畅性的效果.结果 23例患者溶栓后,22例成功,所有患者均未发生渗血、出血等不良反应.22例患者导管持续保持通畅,平均已使用(15.0±4.7)个月.结论 对使用长期导管进行维持性血液透析易出现血栓形成的患者,采用尿激酶定期、交替规律溶栓,对维持导管通畅有较好的效果.
目的 探討採用尿激酶定期交替溶栓對維持血液透析患者中心靜脈長期置管通暢性的效果.方法 選擇23例帶Cuff中心靜脈置管的血液透析患者,形成導管血栓後,採用尿激酶以管內封管溶栓和微量泵泵入持續溶栓分彆進行溶栓治療,溶栓成功後繼續進行定期、交替、規律治療,觀察其持續通暢性的效果.結果 23例患者溶栓後,22例成功,所有患者均未髮生滲血、齣血等不良反應.22例患者導管持續保持通暢,平均已使用(15.0±4.7)箇月.結論 對使用長期導管進行維持性血液透析易齣現血栓形成的患者,採用尿激酶定期、交替規律溶栓,對維持導管通暢有較好的效果.
목적 탐토채용뇨격매정기교체용전대유지혈액투석환자중심정맥장기치관통창성적효과.방법 선택23례대Cuff중심정맥치관적혈액투석환자,형성도관혈전후,채용뇨격매이관내봉관용전화미량빙빙입지속용전분별진행용전치료,용전성공후계속진행정기、교체、규률치료,관찰기지속통창성적효과.결과 23례환자용전후,22례성공,소유환자균미발생삼혈、출혈등불량반응.22례환자도관지속보지통창,평균이사용(15.0±4.7)개월.결론 대사용장기도관진행유지성혈액투석역출현혈전형성적환자,채용뇨격매정기、교체규률용전,대유지도관통창유교호적효과.
Objective To explore the effects of regularly and alternately using urokinase thrombolysis on patency of long-term catheter hemodialysis patients.Methods Totals of 23 patients with cuffed long-term catheters were selected and two methods were used to thrombolytisis: urokinase intracatheter instillation and urokinase was persistently pumped into vein with a microscale.After succeed thrombolytic,two methods were regularly and alternately used,and the effects of patency was observed.Results Twenty-two patients were succeed among 23 patients after received thrombolysis,and no patient happened errhysis,hemorrhage and other complications.22 patients' s cuffed-catheters were keep patency and average utilization was up to(15.0 ±4.7)months.Conclusions It is necessary to adopt regularly and alternately urokinase thrombolytic therapy for hemodialysis patients that easily forming thrombus for long-term catheter,which has a better effects on keep catheter patency.
