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目的探讨如何延长血液净化患者深静脉置管的使用寿命及如何防治并发症。方法对52例深静脉置管患者,行常规血透1362例次作回顾性分析。结果导管留置时间:平均76天。血流不畅或血栓形成78例次,加大负压抽吸或尿激酶溶栓,75例次均复通;导管相关感染3例,抗生素治疗多能免除拔管。结论深静脉置管是较理想的临时性血管通路;导管血栓形成和感染是最常见的并发症;正确的封管方法和严格的无菌操作及尿激酶溶栓和抗生素的应用能延长其使用寿命。
Objective To explore how to prolong the service life of deep vein catheterization in patients with blood purification and how to prevent complications. Methods 52 cases of deep venous catheterization, routine routine hemodialysis 1362 cases for retrospective analysis. Results Catheterization time: averaging 76 days. 78 cases of poor blood flow or thrombosis, increase negative suction or urokinase thrombolysis, 75 cases were times repeated; catheter-related infections in 3 cases, antibiotic therapy can be more extubation. Conclusion Deep vein catheterization is an ideal temporary vascular access. Catheter thrombosis and infection are the most common complications. Correct sealing methods and strict aseptic procedures and urokinase thrombolysis and antibiotics can prolong their use life.