Autogenous arteriovenous fistula in the early nursing intervention and observation
Objective to consolidate hemodialysis patients with autogenous arteriovenous internal fistula surgical curative effect, ensure the safety of long-term use, discusses the nursing intervention measures of early use of scientific and reasonable.Methods With the nursing intervention to 83 cases of early autogenous arteriovenous fistula in use:①estimate the fistula blood vessels before the assessment; ② Began to use by an experienced nurse with 17 g needle puncture, choose the internal fistula elbow cephalic vein or expensive to venous blood as a guide path; ③ improve Nursing skil s, develop good working habits; ④ give patients health guidance, avoid and reduce the complications occurred in fistula. Results In our center, 83 AVF patients without infection, 1 case of diabetic nephropathy patients with refractory hypotension , hemal stricture and occlusion after 25 months regular dialysis, 10 cases of internal fistula is used currently has 36 months, 24 to 36 months 24 cases, 12 to 24 months December 16 cases, 32 cases, inadequate dialysis, blood flow are for 210 to 300 ml/min, function is good. Conclusions early nursing intervention to autogenous arteriovenous fistula in hemodialysis patients can promote internal fistula maturity, improve the success rate of fistula, and play an important role in the prevention and treatment of complications, prolonging the service life of internal fistula.
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