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目的：探讨血液透析患者心力衰竭后动静脉内瘘闭塞原因分析及护理措施。方法：抽取2013年9月至2014年3月于大理学院附属医院肾内科学习期间行血液透析患者心力衰竭后出现动静脉内瘘闭塞与非动静脉内瘘闭塞患者各5例，动静脉内瘘闭塞患者为闭塞组（n=5），非动静脉内瘘闭塞患者为对照组（n=5），采用回顾性的方式分析所有患者的临床资料，探讨造成动静脉内瘘闭塞原因，并针对性的给予护理处理，分析预后效果。结果：血液透析患者心力衰竭后动静脉内瘘闭塞原因为:心力衰竭后静脉回流正常的情况下，由于原发的心脏损害引起心排血量减少，不能满足组织代谢需要的一种病理，生理状态。护理后，闭塞组不良反应发生率，明显低于治疗前，差异具有统计学意义（P＜0.05）。结论：影响普血液透析患者心力衰竭后动静脉内瘘闭塞原因具有多样性，临床上可以采用针对性的护理降低患者的不良反应发生率，极具临床推广价值。
Objective: To investigate the causes of arteriovenous fistula occlusion after hemodialysis patients with heart failure and nursing measures. Methods: From September 2013 to March 2014, 5 patients with arteriovenous fistula occlusion and non-arteriovenous fistula occlusion in patients with hemodialysis were enrolled in the study of renal medicine during the period of renal medicine study in Dali University Affiliated Hospital. The patients with occlusion of fistula were occluded (n = 5) and the patients with non-arteriovenous fistula occlusion were treated as control group (n = 5). The clinical data of all patients were analyzed retrospectively to investigate the causes of arteriovenous fistula occlusion Targeted care given to analyze the prognosis. Results: The cause of occlusion of arteriovenous fistula after heart failure in hemodialysis patients was as follows: under the condition of normal venous return after heart failure, due to primary cardiac damage caused by reduced cardiac output, can not meet the needs of tissue metabolism of a pathological, physiological status. After treatment, the incidence of adverse reactions in the occlusion group was significantly lower than before treatment, the difference was statistically significant (P <0.05). CONCLUSIONS: The causes of arteriovenous fistula occlusion after heart failure in universal hemodialysis patients are diverse. Clinically, targeted care can be used to reduce the incidence of adverse reactions in patients and have great clinical value.