CAJ | 학술논문

目的：探讨长期血液透析患者留置双腔导管的护理体会。方法对6例血液透析患者，双腔导管长期回顾性分析268次，了解导管的使用方法，如何正确使用导管，造成不合理因素和使用导管并发症。结果发生1例局部感染，1例全身性感染，2例堵管16次，2例导管内血栓形成，应用比血液透析患者静脉瘘，无显著性差异。结论双腔静脉留置导管长员工严格无菌操作，合理使用和留置导管封管方法及健康教育的患者并发症预防中的应用是保证深静脉的患者长期使用的关键。
목적：탐토장기혈액투석환자류치쌍강도관적호리체회。방법대6례혈액투석환자，쌍강도관장기회고성분석268차，료해도관적사용방법，여하정학사용도관，조성불합리인소화사용도관병발증。결과발생1례국부감염，1례전신성감염，2례도관16차，2례도관내혈전형성，응용비혈액투석환자정맥루，무현저성차이。결론쌍강정맥류치도관장원공엄격무균조작，합리사용화류치도관봉관방법급건강교육적환자병발증예방중적응용시보증심정맥적환자장기사용적관건。
Objective To investigate the complication and nursing experience of long-term indwel ing double lumen hemodialysis catheter patients. Methods 6 cases of hemodialysis patients, 268 cases of double lumen catheter long-term retrospective analysis, understand the catheter indication, method, how to correctly use the catheter, resulting in improper factors and complications of catheter use. Results The occurrence of local infection in 1 cases, l cases of systemic infection, blood flow is not smooth in 2 cases 16 times, catheter thrombosis occurred in 2 cases, and using dynamic compared to venous fistula in patients with hemodialysis, there was no significant difference in. Conclusion The application of long double lumen venous indwel ing catheter staf strictly non bacteria operation and proper use of indwel ing catheter and the sealed tube method and prevention of complication for patients health education is the key to ensure long-term use in patients with deep vein.