血液透析患者中心静脉置管致中心静脉狭窄临床分析
摘要
血管通路问题是血液透析患者面临的主要问题,尽管动静脉内瘘是尿毒症患者首选的血管通路,但近年来中心静脉置管在血液透析患者中的使用呈增加趋势^[1]。中心静脉置管的并发症除了常见的感染及血栓外,还有严重的迟发并发症—中心静脉狭窄。中心静脉狭窄不仅可引起狭窄血管远端血液回流障碍,导致上肢、头颈及胸部水肿。
出处
《北京医学》
CAS
2010年第1期58-59,共2页
Beijing Medical Journal
参考文献7
-
1李彦生,刘岩,钟小仕,周道远,江杰.血液透析导管相关并发症及防治研究新进展[J].广东医学,2009,30(3):325-326. 被引量:14
-
2Bakken AM, Protack CD, Saad WE, et al. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg, 2007,45:776-783.
-
3Anil KA, Bhairavi MP, Nabil JH.Central vein stenosis: a nephrologist's perspective.Semin Dial, 2007,20:53-62.
-
4Hernandez D, Diaz F, Rufino M, et al. Subclavian vascular access stenosis in dialysis patients: natural history and risk factors. J Am Soc Nephrol, 1998, 9: 1507-1510.
-
5Baxter GM, Kincaid W, Jeffrey RF, et al. Comparison of colour Doppler ultrasound with venography in the diagnosis of axillary and subclavian vein thrombosis. Br J Radiol, 1991,64:777-781.
-
6Levit RD, Cohen RM, Kwak A, et al. Asymptomatic central venous stenosis in hemodialysis patients. Radiology, 2006, 238: 1051-1056.
-
7Kalra M, Gloviczki P, Andrews JC, et al. Open surgical and endovascular treatment of superior vena cava syndrome caused by nonmalignant disease. J Vasc Surg, 2003,38:215-223.
二级参考文献13
-
1MENDELSSOHN D C, ETHIER J, ELDER S J, et al. Haemodialysis vascular access problems in Canada: results from the dialysis outcomes and practice patterns study ( DOPPS Ⅱ ) [ J]. Nephrol Dial Transplant, 2006, 21 (3): 721 -728.
-
2NKF- K/DOQI clinical practice guidelines for vascular access:Update 2000[J]. Am J Kidney Dis, 2001,37(1 Suppl 1) :S137 -S181.
-
3PASTAN S, SOUCIE J M, MCCLELLAN W M. Vascular access and increased risk of death among hemodialysis patients[J]. Kidney Int, 2002, 62 (2) : 620 - 626.
-
4No authors listed. Cause of death. USRDS. United States Renal Data System[J]. Am J Kidney Dis, 1997, 30 (2 Suppl 1 ) :S107 -S117.
-
5LOK C E. Avoiding trouble down the line: the management and prevention of hemodialysis catheter - related infections [ J ]. Adv Chronic Kidney Dis, 2006, 13(3) : 225 -244.
-
6STEVENSON K B, ADCOX M J, MALLEA M C, et al. Standardized surveillance of hemodialysis vascular access infections: 18 month experience at an outpatient, multifacility hemodialysis center[J]. Infect Control Hosp Epidemiol, 2000, 21(3): 200-203.
-
7BEATHARD G A. Management of bacteremia associated with tunneled - cuffed hemodialysis catheters [ J ]. J Am Soc Nephrol, 1999, 10(5): 1 045-1 049.
-
8ABIDI S M, KHAN A, FRIED L F, et al. Factors influencing function of temporary dialysis catheters [ J ]. Clin Nephrol, 2000, 53(3) : 199 -205.
-
9SHAFFER D. Catheter - Related sepsis complicating long - term, tunnelled central venous dialysis catheters: management by guidewire exchange[J]. Am J Kidney Dis, 1995, 25(4) : 593 -596.
-
10VERCAIGNE L M, SITAR D S, PENNER S B, et al. Antibiotic - heparin lock :in vitro antibiotic stability combined with heparin in a central venous catheter [ J ]. Pharmacotherapy, 2000, 20 (4) : 394 -399.
共引文献13
-
1黄利萍,马和群.血液透析患者并发危险因素分析及护理对策[J].中国初级卫生保健,2011,25(4):116-117. 被引量:3
-
2曾兰芳.健康教育在尿毒症患者透析治疗中的应用[J].按摩与康复医学,2011,2(14):39-39. 被引量:1
-
3杨颖嘉,苟颖,骆敏.血液透析用股静脉导管相关性感染的分析与防治[J].中国医学工程,2011,19(1):94-94.
-
4杨颖嘉,马艳.血液透析患者股静脉留置导管相关性菌血症菌群分布及药敏分析[J].四川医学,2011,32(5):691-693.
-
5严艳,黄芝.预防血液透析置管感染中临床护理路径的意义[J].齐齐哈尔医学院学报,2012,33(21):2978-2980. 被引量:8
-
6邵卫红,朱生娣,俞江英,齐玲,吴思军.不同浓度肝素钠封管液对血液透析患者深静脉留置导管功能的影响[J].海峡药学,2013,25(4):61-63. 被引量:6
-
7姚媛媛,叶慧娟.透析导管意外滑脱的原因分析及护理对策[J].当代护士(中旬刊),2013,20(10):142-144. 被引量:2
-
8楼宏青,金云燕,许桂军.血液净化导管感染的因素及预防对策分析[J].中华医院感染学杂志,2014,24(5):1184-1185. 被引量:7
-
9许明媛,赵宇亮,付平.血液透析导管相关中心静脉狭窄诊断研究的新进展[J].中华临床医师杂志(电子版),2014,8(12):138-144. 被引量:6
-
10蔡琴,汪平,陈望善,罗顶世.临床药师参与1例血液透析导管相关性感染患者的药学监护[J].中南药学,2014,12(7):693-695. 被引量:2
-
1葛益飞,王宁宁,俞香宝,杨正强,朱亚梅,孙彬,毛慧娟,曾鸣,张莉,张波,刘佳,邢昌赢.维持性血液透析患者中心静脉狭窄和闭塞的治疗[J].中华肾脏病杂志,2013,29(4):306-307. 被引量:12
-
2刘波,诸一吕,施向东.长期颈内静脉置管致中心静脉狭窄诊治分析(附3例病例报告)[J].中华肾脏病杂志,2013,29(11):860-861. 被引量:2
-
3邵虹.深静脉血栓形成的机制及护理[J].临床合理用药杂志,2012,5(26):95-95. 被引量:2
-
4闫妍新,郗少芳.下肢深静脉血栓形成患者的护理[J].华北煤炭医学院学报,2011,13(2):222-222. 被引量:5
-
5宋岩,李冀军,黄党生,沈东,罗北捷.球囊扩张+支架治疗血透患者锁骨下静脉狭窄[J].中国血液净化,2002,1(5):55-56.
-
6张英,黄小妹.反复右颈内静脉插管误入锁骨下静脉2例分析[J].中国中西医结合肾病杂志,2006,7(1):45-45. 被引量:1
-
7於建根,蒋欣欣,叶有新,李华,胡卫民,冯剑,陆明晰,奚炜炜.中心静脉置管致多处中心静脉狭窄后重建血液透析径路一例[J].中华肾脏病杂志,2014,30(9):722-723. 被引量:3
-
8王茹.护理干预对预防剖宫产术后下肢深静脉血栓形成的影响[J].华北煤炭医学院学报,2011,13(2):236-237. 被引量:9
-
9严泽振,张岚.血液透析致中心静脉狭窄的诊治[J].临床肾脏病杂志,2015,15(2):68-71. 被引量:7
-
10盖云云.16例上腔静脉综合征的护理体会[J].中国中医急症,2008,17(7):1015-1016.