Fistula in hemodialysis patients and nursing common cause of obstruction.docVIP

 PAGE \* MERGEFORMAT 8 Fistula in hemodialysis patients and nursing common cause of obstruction [Keywords:] Hemodialysis; fistula occlusion; Care Hemodialysis patients with end stage renal disease is an important treatment for the survival of one, a good vascular access is a necessary condition to ensure adequate dialysis is the lifeblood of hemodialysis patients. Arteriovenous fistula is the most commonly used clinically permanent vascular access . In clinical work, because some conditions were poor due to their own vessels, because of repeated puncture or fistula as a result of improper care and loss of function, particularly in blocking the most common. now in our hospital from 2006-2010, 20 cases of radial artery - the first fistula occlusion analysis of the causes, of the corresponding arteriovenous fistula nursing. 1 Clinical data Fistula occlusion in 20 cases, 11 males and 9 females; aged 50 to 91 years old. Including 5 cases of hypertensive nephropathy, diabetic nephropathy in 5 cases, 6 cases of chronic nephritis, polycystic kidney disease in 4 cases; were hand-foot in our hospital line their own surgical arteriovenous fistula, the use of 16 fistula needle, 2 to 3 times a week dialysis, 4 ~ 5h / times, dialysis, blood flow 200 ~ 300ml/min. immature and application of fistula thrombosis 5 cases, accounting for 25% of fistula occlusion; mature and application of fistula thrombosis in 15 cases, accounting for 75% of fistula occlusion. fistulas “mature” refers to blood flow in the artery under the impact of fistula vein dilation and hypertrophy, which normally takes 4 to 6 weeks [1]. 2 reasons for blocking 2.1 immature and application of fistula thrombosis (1), vascular conditions are poor, such as the vein is too small, atherosclerosis, and thrombosis in 2 cases; (2) excessive bleeding, leading to oppression hematoma fistula, postoperative bandage too tight 1 case caused by poor blood flow, etc.; (3) coagulation function is poor, oppress