血液滤过治疗中静脉导管的护理

目的 通过对接受血液滤过治疗危重患者的观察和护理,探讨治疗过程中常出现的导管相关并发症及护理对策.方法 观察2005年6月-2008年10月进行血液滤过的68例危重患者,从护理角度对其应用血液滤过治疗的效果和导管相关并发症进行重点观察.结果 所有患者静脉导管均未出现脱落、阻塞和明显感染情况.出现渗血6例;体外凝血57例次;低血压35例次;低体温21例次;低血糖2例次.结论 血液滤过过程中准确抗凝,观察患者体温变化,做好保暖措施,能够提高血液滤过的效率,减少静脉导管相关并发症的发生.

Nursing for venous catheter during the course of hemofilitration

Objective To know the nursing countermeasures for the catheter associated complications during the course of hemofilitration by observation critical patients who had accepted hemofilitration.Methods Retrospective analyzed the nursing points and treatment effects among 68 critical patients with hemofilitration from June 2005 to October 2008.Results There were no venous catheters droped off,no blocked and obvious infection.6 cases with exudation,57 cases with vitro cogulation,35 cases with hypotension,21cases with hypothermia,2 cases with hypoglycemia.Conclusions Apropriate anticoagulant,observe the body temperature and keep the comfortable temperature can increase efficiency and reduce the venous catheter associated complications during the hemofilitration.