文档介绍：动静脉内瘘血栓应用尿激酶溶解的方法及预防
作者:王晴季扬陆浩何玉金孙荣
【摘要】动静脉内瘘是指将患者一侧肢体的动脉与静脉端端吻合或端侧吻合,从而为血液透析患者提供最佳的血管通路,但是不正确地使用内瘘会大大减少内瘘的使用寿命,血栓形成是造成内瘘闭塞的最主要原因,其主要治疗是外科重建及介入治疗。我们对21例患者内瘘血栓形成用尿激酶(UK)溶解血栓的方法,具体做法是将尿激酶向血栓内部喷洒治疗,配合使用抗凝剂如潘生丁、阿司匹林治疗,取得良好的效果。同时我们加强预防错施,有针对性地进行治疗与护理,延长了内瘘的使用寿命。
【关键词】动静脉内瘘尿激酶血栓预防
【Abstract】Internal arteriovenous fistula refers to the member side of the artery and vein end-to-end anastomosis or end-to-side anastomosis,so as to provide hemodialysis patients the best vascular access . But using incorrectly will reduce the service life of internal fistula dramatically. The main reason of internal fistula obstruction is the formation of thrombus,of which the main treatment is surgical reconstruction and interventional June 1996 to March 2009,our section had treated 21 cases of fistula in patients with thrombosis with urokinase (UK) method of dissolving blood clots. And specific to the UK practice is to spray the treatment of thrombosis in the the use
of anticoagulants such as dipyridamole,aspirin therapy ,which have achieved good results. At the same time we step up preventive measures,targeted to carry out treatment and care,to extend the life of the fistula.
【Key words】Moves in the vein the fistula Urokinase Thrombus Prevention
1 临床资料
21例患者均为我科门诊维持性血液透析(MHD)治疗的患者,进行血液透析治疗而发生内瘘闭塞的,其中男13例女8例,内瘘使用时间为1月~7年。原发病:糖尿病肾病7例,慢性肾小球肾炎6例,多囊肾3例,高血压肾病4例,肾结石1例