Hemodialysis arteriovenous fistula causes of insufficient blood flow and nursing.docVIP

 PAGE \* MERGEFORMAT 6 Hemodialysis arteriovenous fistula causes of insufficient blood flow and nursing [Keywords:] hemodialysis arteriovenous fistula blood flow inadequate care 2003 ~ 2008, we have 60 cases of arteriovenous fistula blood flow in dialysis patients because of inadequate analysis, and provide active care, these are as follows. A clinical data Patients in this group, 60 cases occurred during dialysis arteriovenous fistula blood flow inadequate. 40 cases were male and 20 female, aged 36 to 72 years old, with an average 56.3 years of age. 1st line of 48 cases of fistula surgery, 2nd in 12 cases. 30 cases of chronic nephritis, diabetes and 15 cases, hypertension in 11 cases, 3 cases of lupus kidney, polycystic kidney disease in 1 case. 2 Analysis 2.1 Puncture improper methods A long period of regional law and the button eyes puncture puncture puncture, so that the formation of blood vessels around the scar and aneurysms, are not easy to puncture and organizations in the formation of blood vessels collapse, so that leakage occurs within the narrow, affecting blood flow. 2.2 hypercoagulable state In patients with excessive weight gain, dry weight is too low, frequent dialysis hypotension, diarrhea, dehydration and erythropoietin excessive, can cause increased blood viscosity, causing fistula obstruction. 2.3 fistula care and improper Tourniquet after dialysis are hard pressed, the time is too long, sleep oppression fistula limbs, etc., may result in insufficient blood flow within the fistula. 2.4 The formation of hematoma Hemostasis improper methods, vascular conditions, poor technology, poor and puncture hematoma formation is a major factor, local hematoma may cause local adhesions, machine-oriented, resulting in a narrow fistula affecting the blood flow. 2.5 Application of early fistula Generally within the fistula should be 3 to 4 weeks after application, if applied too early fistula is not mature enough, thus resulting in insufficien