大剂量肝素盐水加林可霉素在血液透析深静脉导管封管中的应用

Investigation on Sealing the Deep Venous Catheter by High-dose Heparin Saline and Lincomycin in Hemodialysis

目的:探讨肝素盐水加林可霉素在血液透析深静脉导管封管中的应用体会。方法:通过采用大剂量肝素盐水2ml(1ml含有25?肝素)加林可霉素注射液1ml封管与传统封管方法的对比,证明了采用大剂量肝素盐水2ml(1ml含有25?肝素)加林可霉素注射液1ml封管的优势。结果:该方法能显著降低血透病员深静脉导管的感染和堵塞并发症的发生。结论:通过62例采用双腔静脉导管透析治疗患者采用不同封管方式的观察,证明合理采用大剂量肝素盐水2ml(1ml含有25?肝素)加林可霉素注射液1ml封管的方法,有效地降低了血透导管感染和堵塞的风险。

Objective:To discuss the experience of sealing the deep venous catheter by high-dose heparin saline and lincomycin in hemodialysis.Method:32 patients were sealed with high-dose heparin saline 2ml(25mg heparin in 1ml) and lincomycin 1ml,and 30 patients were peformed traditional sealing method.The results were compared.Result:It can significantly decrease the incidence of infection and obstruction in deep venous catheter.Conclusion:High-dose heparin saline 2ml(25mg heparin in 1ml) and lincomycin 1ml for sealing can effectively reduce the risk of infection and obstruction of catheter.