血透患者永久導管應用尿激酶溶栓的臨床效果觀察

目的：觀察尿激酶對靜脈永久留置導管堵塞進行榕栓的效果，探討尿激酶在導管內溶栓的有效性和安全性，以指導臨床護理實踐方法。方法：對澳門某醫院血透室2009年7月至2010年3月共50例靜脈留置永久導管堵塞病人，向堵塞的導管內注射尿激酶進行局部溶栓，觀察榕栓效果。結果：50例堵塞的靜脈導管中，有47例全部疏通，3例失敗。50例全部未見不良反應。結論：應用尿激酶疏通堵塞的靜脈留置永久管道，操作簡單、安全，成功率高，不良反應少。能較理想地為血透患者保持有效的血管通路，使透析順利進行。

關鍵字

尿激酶；血液透析；靜脈永久留置導管；溶血栓

並列摘要

Objective: Observe the thrombolytic effect of urokinase in the treatment of thrombosed permanent catheter of dialysis patients. To provide clinical nursing experience by studying the effectiveness and safety of urokinase. Methods: Diluted Urokinase was instilled in thrombosed catheter for 50 patients with occluded permanent catheter between July 2009 and March 20I0 in the dialysis centre. The effect of thrombolytic treatment was observed. Results: 47 cases of thrombosed permanent catheter regained sufficient blood flow after treatment, 3 cases have not achieve the effects. No side effects of all 50 cases were observed. Conclusion: Intracatheter thrombolysis with Urokinase is effective safe and easy to perform in clinical practice with no obvious side effect. It is a good method to maintain an effective blood access among hemodialysis patients.

並列關鍵字

Urokinase Hemodialysis ； Permanent Catheter Thrombolysis

國際替代計量

血透患者永久導管應用尿激酶溶栓的臨床效果觀察

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