现代临床护理
現代臨床護理
현대림상호리
Modern Clinical Nursing
2015年
9期
65-67
,共3页
腹膜透析%胸腹瘘%护理
腹膜透析%胸腹瘺%護理
복막투석%흉복루%호리
peritoneal dialysis%abdominal fistula%nursing
目的 总结持续非卧床性腹膜透析(continuous ambulatory peritoneal dialysis,CAPD)患者并发胸腹瘘的护理方法.方法 对2013年1月~2014年9月本科室收治的3例CAPD并发胸腹瘘患者进行护理,包括病情观察、胸腔引流、低容量透析和健康指导等. 结果 经处理3例CAPD发生胸腹瘘患者2例退出CAPD, 改为维持性血液透析,1例暂停CAPD 4周后继续接受CAPD治疗,随访腹透过程顺利,超滤可. 结论 及早发现胸腹瘘并进行胸腔穿刺引流、低容量透析护理和健康指导,可减轻患者痛苦,提高患者的生存质量.
目的 總結持續非臥床性腹膜透析(continuous ambulatory peritoneal dialysis,CAPD)患者併髮胸腹瘺的護理方法.方法 對2013年1月~2014年9月本科室收治的3例CAPD併髮胸腹瘺患者進行護理,包括病情觀察、胸腔引流、低容量透析和健康指導等. 結果 經處理3例CAPD髮生胸腹瘺患者2例退齣CAPD, 改為維持性血液透析,1例暫停CAPD 4週後繼續接受CAPD治療,隨訪腹透過程順利,超濾可. 結論 及早髮現胸腹瘺併進行胸腔穿刺引流、低容量透析護理和健康指導,可減輕患者痛苦,提高患者的生存質量.
목적 총결지속비와상성복막투석(continuous ambulatory peritoneal dialysis,CAPD)환자병발흉복루적호리방법.방법 대2013년1월~2014년9월본과실수치적3례CAPD병발흉복루환자진행호리,포괄병정관찰、흉강인류、저용량투석화건강지도등. 결과 경처리3례CAPD발생흉복루환자2례퇴출CAPD, 개위유지성혈액투석,1례잠정CAPD 4주후계속접수CAPD치료,수방복투과정순리,초려가. 결론 급조발현흉복루병진행흉강천자인류、저용량투석호리화건강지도,가감경환자통고,제고환자적생존질량.
Objective To investigate nursing of patients with continuous ambulatory peritoneal dialysis (CAPD) complicated by abdominal fistula. Methods Three patients with CAPD complicated by abdomial fistula who were treated in the nephrology department from January 2013 to September 2014 were nursed, including disease observation, chest drainage, measurable CAPD and health education. Result Two patients eventually turned to hemodialysis and 1 cases took pleural elemene injection 20 mL +lidocaine 5 mL, suspended peritoneal dialysis for 4 weeks to continue to receive the peritoneal dialysis treatment. Conclusions Abdominal fistula can be detected early based on clinical manifestations. Doctors and nurses in coordination, early treatment can reduce the pain of patients and the occurrence of complications.
