血液透析患者动静脉内瘘闭塞原因分析及护理干预

目的：分析维持性血液透析患者动静脉内瘘闭塞的原因及护理。方法：回顾性分析107例患者建立永久性动静脉内瘘，在透析过程中进行护理观察，分析内瘘发生闭塞的原因并采取护理干预。结果：15例发生内瘘闭塞，其中透析中低血压导致内瘘闭塞者7例，穿刺不当造成内瘘血管损伤2例，内瘘护理维护不当2例，血液黏稠度增加2例，内瘘感染1例，内瘘使用过早1例。结论：动静脉内瘘闭塞与透析中低血压、内瘘的合理使用以及患者全身情况有密切关系。

Hemodialysis patients with arteriovenous fistula occlusion causes and nursing intervention

Objective：To analyze the causes of occlusion of the fistula and nursing of vein in patients with main-tenance hemodialysis.Methods：To establish a permanent internal arteriovenous fistula parallel maintenance hemodialysis nursing observation was performed in 107 patients,analysis of internal fistula occlusion of the cause and take corresponding nursing intervention.Results：15 cases occurred fistula occlusion,which resulted in 7 cases of hy-potension during dialysis fistula occlusion,2 cases of internal fistula puncture caused vascular damage,fistula care improper maintenance in 2 cases, the blood viscosity was increased in 2 cases,1 cases of fistula infection, fistula in 1 cases with early.Conclusion：Rational use of arteriovenous fistula occlusion and hypotension in the hemodialysis,arte-riovenous fistula and the general condition of the patients have a close relationship.