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目的:血管通路是进行有效血液透析的重要条件之一。血液透析时血管通路的再循环是部分已透析过的血液不经过体循环直接从静脉向动脉端的回流,影响了透析的充分性。用动-静脉内瘘穿刺是目前维持性血液透析的一种最常用的血管通路。使用动、静脉内瘘穿刺图谱同时针尖斜面向下且向心穿刺可明显延缓内瘘并发症的发生,延长其使用寿命。使用动静脉穿刺图谱,为血液净化专科护理人员制定安全、直观、有依据的护理操作技术,提高动静脉内瘘穿刺成功率,尽可能延长维持性血液透析病人动静脉内瘘的使用寿命,减少并发的发生。适用于维持性血液透析病人自体动静脉内瘘、人造血管动静脉内瘘患者。是本文探讨的问题。
Objective: Vascular access is one of the most important conditions for effective hemodialysis. Recirculation of vascular access during hemodialysis is partly due to hemodialysis of the blood without systemic circulation directly from the vein to the arterial side of the back flow, affecting the adequacy of dialysis. The use of arteriovenous fistula puncture is one of the most commonly used vascular pathways for maintenance hemodialysis. The use of arteriovenous fistula puncture at the same time the needle bevel down and to the heart puncture can delay the occurrence of complications of fistula and prolong its service life. The use of arteriovenous puncture patterns for the blood purification specialist nurses to develop safe, intuitive, based on the nursing operation techniques to improve the success rate of arteriovenous fistula puncture, as far as possible to extend the maintenance of hemodialysis patients arteriovenous fistula life, reduce Concurrent happened. For maintenance hemodialysis patients with autologous arteriovenous fistula, artificial vascular arteriovenous fistula patients. This article explores the issue.