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血液透析患者51例带涤纶环深静脉导管退出原因分析

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摘要 本文通过对血液透析患者51例带涤纶环深静脉导管退出的原因进行分析,发现退出原因以死亡最多,其次为导管失功,后依次为导管相关性感染、导管涤纶环脱出、导管壁局部变薄、导管意外剪断。导管失功者,导管使用时间长,考虑为血栓或纤维蛋白鞘形成。导管相关性感染7例中有3例外周血培养和导管血培养出铜绿假单孢菌;1例申克孢子丝菌感染;3例出现临床症状,经过抗生素治疗后非透析日体温消退,透析过程中出现寒战、发热。导管涤纶环脱出者,考虑患者皮下脂肪均较薄,涤纶环与周围组织相连欠牢固,导致脱出。1例因夜间做梦时意外将导管剪断,虽属意外也应引起重视,将利器或剪刀远离患者。
出处 《中国乡村医药》 2014年第5期5-6,共2页
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