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人造血管内瘘在血液透析中的应用与护理

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人造血管内瘘在血液透析中的应用与护理人造血管内瘘在血液透析中的应用与护理 2006???M12?c?????C?? ??-???)(A-V)???P?C?>???8?????-???c????,???:?>???? ?P????????????-???)???P??????????,???3?r?r???????>?? ?8?????-???c???I??,?????????-???c??o02001??9?V??2006 ??3?V,?/?????)12?????I???:?>?????P???>?8???-,1???? ?&...
人造血管内瘘在血液透析中的应用与护理
人造血管内瘘在血液透析中的应用与护理 2006???M12?c?????C?? ??-???)(A-V)???P?C?>???8?????-???c????,???:?>???? ?P????????????-???)???P??????????,???3?r?r???????>?? ?8?????-???c???I??,?????????-???c??o02001??9?V??2006 ??3?V,?/?????)12?????I???:?>?????P???>?8???-,1???? ?>?????????z??,????11???????a???c???????????I???S,?? ?(???(???F?J?????9o0 1?f?????? 1.1?M??12?????-?u?N4??,??8??o0????42??67??,?????? ???H60.1??,?8??2??3?;/??,4.5h/?;,?>?%??220??260ml/mino0 ???:?>?????P???I???/4?a?V,?????-????4??,???????I 1.3??,???u???????H???G??????8??,???r???8?6????4??o0 1.2?????????????C???8???I???????????c????(PTFE)?> ???4?????u?i?z?????)o2?????)U???????J?V[1] ,PTFE???:?> ???C?c???J??????,???)?????????r??,?F?8????,?>?%???r, ?h?????H???P??[2] o0 2???( 2.1???M?)???C?46??8?????H???:?>?????P?H??o0?)?????m ??,???:?>???C?4???I???????I?>???????42??3??,????6??8 ???????7??[3] ,???????I?h?????.?????So2?J?V??????o2???>o2 ?c?????>?h???7o0 2.2???H?????T?,???)???J?V??3??4cm,???)?4???)????3?? 4cmo0??o2???)?????/?????/???H,???/?>???????????????r?? ?)?D?????7,???????????I????,?A???>?????7???h?L?bo0 2.3???H?????-?>??????o2????,???H?????????:?>???????? ?r,???<???????>,???t?O???8????????,?0?????r???H????, ?D????????,???)?J?????.?I?????H?????:?>????,???????f ?c???p?4?Y,???)???>,?b?4?????H?????????Y??????5, ???/?????:???f,?>????????,???H???H?7??o0?????:?>?????? ?c????[4] ,???????b???8?.???????H,???;???H???????????O 0.5??1.0cmo0?????????????????8?>o2????o2?c??o0 2.4???????H???4,???????????>15??20mino0?????????.???? ??,?????0?u,???6?????.?????r,?.???I???>???r?e,?.???? ??,?????>?%?J???????????:?7?>?h???7?3????o0 2.5???I3??4?a?V?4???)???F????o0???H???)?????f?c?.?a ?4?Y,???.?????.?t??????,?????????????/,?i?.???4?????> ?4,???/???:???????8??,15??20min?4?????????L?8??o0 2.6???H?s?t??,???(???H?s?t?????P???????????1,???)?? ??????,???)?????????I???:?>???,???????H,?e?T?h???P?? ?????????)???????3?????>??????o0?>?????)?>?????7??,?? ?I24h?4???????(??,???I???????????)??o0 2.7?????-????????,?????P???????(??????o0?c?J?u???8?C ???.????????,?????????i?i??????,?.?????r?????????I?? ?????H?C??????????,???:?????/?C????????,?????????C??, ???v?C???>???????.???????P??????o0 3???? ???:?>?????P???)?>?%??????,???H????,???H?????????? ?P??,?????H??????????:????o2???I??????,???H?4???>????, ?>?h???7????,???h???c?c??o2????????o2?>???i?vo2???7???r?? ?)?D????????,???????????:?>?????P?????I????,???8?????? ?????????r?/?Po0?????:?>?????P?????(???Y?????H????o0 ???6???y ??????,?:??5???;TF???:?>???C?4???J???????????( ???.???r??????,,(3)?? ???????>???8???>???F???????u???>?????i,3,8() ???:?>?????P?I?>???8???u?????I?4???( ???L?? (?????2?????0???Y??451?J??????????710054) ???y??:???:?>??;?>???8??;???( ?u???(????:R459??5???y?A???2:B?????i??:1006-6411(2006)012-0027-02 ???????????????????1???????A?M,?t?O???????c?:???????? ??,???????????(???t????o0 4.7???>???(???8?/??,???????????C,???H????o2????o2?F?f ?-?2???(,???2???L??o2???i??o2???G???-?2?F??o0???????????? ???;,???>??????,????????o0 4.8?????????g???>?8???-??????,?F???1?????8,?(???v?c ???????)???5?/????????,?/???-???????????>???8????????, ??:???P???H????????o2???)?????>?????(o2?V?(????o2?????o?? ?F???H?>??,???????-???????f??,?v???c???????co0 (???R?M???????g???c???????A??,?????c?R.) ???6???y 1DittemerID,SharpD,McnultyCAM,etal.Aprospectivestudy ofcntyalvenoushemodialysiscatchetercolonizationand peripheralbacteremia.ClinNephrol,1999,51:34??39. 2??????,????,??????,??.???r???????????u?G???c??65???( ??.?u?????8???<??,1992,8(6):350. 3?????t,????,????,??.?>???8?????-?T???????????c?????? ?v.?u???J???c?????<??,2003,13(4):330. 4LePogamS,LeChapoisD,ChyistenR,etal.HepatitisCina hemodialysisunit:molecularevidencefornosocomialtransmission.J ClinMcrobiol,1998,47(10):3040. 5OlmerM,BouchouarebD,ZandottiC,etal.Transmissionofthe hepatitisCvirusinanhemodialysisunit:evidencefor nosocomialinfection.ClinNephrol,1997,47(4):263. 6?e????,?????Z,??????.?>???8?????????>???I???(?????:?? ?(.???????(?<??,2004,10(9):711??712. (?B???i????????) !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 27???? 0.cm 1.0PE .200229:204207. 2..2002: TODAYNURSE,December,2006,No.12 407??410. 3????,?f????.???:?>???I?2???>?????-?u?????I???F.???? ?????<??,2001,16(11):871??872. 4??????,??????.3?????:?>?????.???>???8???????(.???( ???<??,1999,14(4):256. (?B???i????????) !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 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