On the introduction of a simple way to prevent needle blockage.docVIP

 PAGE \* MERGEFORMAT 5 On the introduction of a simple way to prevent needle blockage [Abstract] Objective To explore deep vein puncture in hemodialysis applications. Methods of blood purification center in our hospital in September 2008 ~ September 2010 applied to establish temporary access roads deep vein puncture. Results of this group of 110 patients, all of puncture success, no failure due to puncture the phenomenon of pipe clogging. Conclusions 1.5ml 2% lidocaine and heparin saline 0.5ml (20mg + saline 500ml heparin for deep vein puncture the mixture, fewer complications, can provide a stable blood flow worthy of clinical application. [Keywords:] Deep vein mixture of lidocaine and heparin saline With the improvement of living standards, high blood pressure, diabetes, the incidence increased year by year, followed by hypertension, diabetes, chronic renal failure also showed an upward trend. End-stage chronic renal failure, dialysis is often required treatment, in the absence of arteriovenous fistula before the establishment, through the jugular (or femoral) vein catheter to establish temporary hemodialysis vascular access is a common method of treatment. the jugular (or femoral vein catheter puncture, most units B-General is not under the guidance, take the blind through technology. This leads to prolonged puncture, easy to plug the needle, puncture failure. our department since 2008, using 2% lidocaine mixture for puncture with heparin saline method achieved good results. are reported below. 1 Clinical data 1.1 General information on 110 patients, male 60 cases, female 50, aged 18 to 74 years, mean 45.3 + -8.7 years, of which 73 patients with chronic renal failure, acute renal failure in 11 cases, 18 cases of organophosphate poisoning , stability and toxicity in 5 cases, 3 cases of multiple organ failure. 1.2 How All the patients were using the production of Arrow (11.5Fr ~ 16cm) X-ray opaque polyurethane double lumen cat