期刊文献+

维持性血液透析患者52例内瘘穿刺点减少渗血的穿刺技巧及渗血护理方法 被引量:6

Puncture skills and bleeding nursing on 52 patients with maintenance hemodialysis in the internal fistula puncture point
下载PDF
导出
摘要 目的:探讨对维持性血液透析患者进行内瘘穿刺时,减少其渗血的穿刺技巧以及出现渗血时需要使用的护理方法。方法:收治进行维持性血液透析的患者52例,对减少维持性血液透析患者渗血的穿刺技巧以及出现渗血时需要使用的护理方法进行分析。结果:患者出现轻微渗血12例,经过处理后均有效止血。在内瘘穿刺过程中使用科学合理的穿刺技巧可以有效减少穿刺过程中的渗血,当出现渗血时采取针对性的护理措施也可以阻止渗血。结论:对维持性血液透析患者进行内瘘穿刺时,必要的穿刺技巧以及渗血护理极为重要,它影响着整个穿刺治疗的质量。 Objective:To explore the technique of reducing the puncture of hemoootic and the nursing methods that need to be used in hemodialysis for maintenance hemodialysis patients.Methods:52 patients with maintenance hemodialysis were selected,and then we analyzed how to reduce the puncture skill of hemohemodialysis patients and the nursing methods that need to be used in the occurrence of hemohemodialysis.Results:There were 12 cases of mild bleeding,and all of them were effective hemostasis after the treatment.In the process of internal fistula puncture,the use of scientific and rational puncture technique can effectively reduce the infiltration of blood in the process of puncture.When the bleeding occurs,the targeted nursing measures can also prevent the bleeding.Conclusion:The necessary puncture technique and hemooactic care are very important for the maintenance hemodialysis patients with internal fistula puncture,which affects the quality of the whole puncture treatment.
作者 曹艳春 Cao Yanchun(Hemodialysis Room,the First People's Hospital of Xuzhou City(Jiangsu)221000)
出处 《中国社区医师》 2018年第20期169-170,共2页 Chinese Community Doctors
关键词 维持性血液透析 内瘘穿刺 针眼渗血 穿刺技巧 渗血护理 Maintenance hemodialysis Internal fistula puncture Errhysis Puncture technique Blood infiltration nursing
  • 相关文献

参考文献4

二级参考文献50

  • 1王晓兰,薛丽,尹晋文.喜疗妥治疗血液透析患者血管硬化及周围硬结的临床观察[J].中国血液净化,2006,5(4):177-177. 被引量:34
  • 2NKF-K/DOQI血管通路的临床实践指南[J].中国血液净化,2007,6(7):385-392. 被引量:7
  • 3林惠风.血液净化护理实用[M].上海:科技出版社,2005.97-98.
  • 4林惠风.实用血液净化护理[M].上海:上海科学技术出版社,2005:149.
  • 5张欲荣.动静脉内瘘穿刺部位出血的常用止血方法[J].中国现代医生,2007,45(10X):160-161. 被引量:8
  • 6Jennings WC, Miller GA, Coburn MZ, et aI.Vascular access flow reduction for arteriovenous fistula salvage in symptomatic patients with central venous occlusion.J Vasc Access. 2012;13(2 ): 157-162.
  • 7Liani M, Salvati F, Tresca E,et al.Arteriovenous fistula obstruction and expression of platelet receptors for von Willebrand factor and for fibrinogen (glycoproteins GPib and GPiib/iiia) in hemodialysis patients.lnt J Artif Organs. 1996; 19(8):451-454.
  • 8Salvati F, Liani M.Role of platelet surface receptor abnormalities in the bleeding and thrombotic diathesis of uremic patients on hemodialysis and peritoneal dialysis.lnt J Artif Organs. 2001 ; 24(3): 131-135.
  • 9Gosk-Bierska I, Adamiec R, Doskocz W, et al.Chronic peripheral arterial occlusive disease, platelet glycoproteins GPIIb-Illa and GP Ib-IX, plasma von Willebrand factor and plasma fibrinogen concentrations in patients with type 2 diabetes mellitus].Pol Arch Med Wewn. 2000; 103(3-4): 139-145.
  • 10Frojmovic MM, Kasirer-Friede A, Goldsmith HL, et al. Surface-secreted von Willebrand factor mediates aggregation ofADP-activated platelets at moderate shear stress: facilitated by GPIb but controlled by GPIIb-Illa.Thromb Haemost. 1997; 77(3):568-576.

共引文献53

同被引文献49

引证文献6

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部