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目的探讨针对维持性血液透析患者,在使用动静脉内瘘过程中失功的原因,并实施有效的预防护理。方法选择我院2011-2016年维持性血液透析患者27例,对所有患者使用动静脉内瘘失功的原因进行分析,并研究有效措施给予临床护理。结果血液透析患者中最主要的原因是内瘘闭塞。结论内瘘出现血栓及狭窄是最主要原因,针对患者的情况进行有效预防,实施有效内瘘护理,最终将患者的内瘘寿命有效延长,保证患者高质量地完成血液透析。
Objective To investigate the reasons for the failure of maintenance hemodialysis patients during arteriovenous fistula and to implement effective preventive nursing. Methods Twenty-seven patients with maintenance hemodialysis from 2011 to 2016 in our hospital were selected. The causes of the failure of arterio-venous fistula were analyzed in all patients and the effective measures were given to provide clinical nursing. Results The main cause of hemodialysis was fistula occlusion. Conclusions Fistula and stenosis are the main causes of fistula. Effective prevention is given to the patients and effective fistula care is given. Finally, the life span of the fistula is prolonged effectively and the hemodialysis is completed with high quality.