doi:10.3761/j.issn.0254-1769.2019.04.021

Abstract

Key words: Hematodialysis, Superior Vena Cava Obstruction Syndrome, Esophageal and Gastric Varices, Nursing Care

摘要：

总结1例血液透析患者合并上腔静脉阻塞综合征突发食管胃底静脉曲张破裂出血患者的护理。护理要点：上腔静脉介入操作后严重并发症的评估;透析期间关注上肢血流量变化,采取干预措施;针对食管胃底静脉曲张破裂出血的特殊原因进行多学科积极救治;预防下肢股浅动脉-大隐静脉人工血管内瘘术后移植物发生感染等。患者住院23 d后康复出院。

关键词: 血液透析, 上腔静脉阻塞综合征, 食管胃底静脉曲张, 护理

王丽,翁艳敏,傅巧美. 血液透析患者突发食管胃底静脉曲张破裂出血的护理[J]. 中华护理杂志, 2019, 54(4): 578-580.

References 11

[1]	李强, 吴亮, 汤继军 , 等. 支架植入治疗血液透析动静脉瘘中心静脉阻塞的价值分析[J]. 介入放射学杂志, 2017,26(8):744-748.
[2]	王欣芳, 王沛, 刘章锁 . 血液透析导管相关上腔静脉狭窄临床分析[J]. 国际移植与血液净化杂志, 2016,14(2):41-42.
[3]	汤跃武, 罗仪 . 动静脉内瘘血流量对维持性血液透析患者心功能的影响[J]. 中国老年学杂志, 2016,36(16):4033-4034.
[4]	吴春燕, 王文娟, 应迎娟 , 等. 血液透析患者内瘘狭窄球囊扩张治疗的术后护理[J]. 中华护理杂志, 2009,44(7):660-661.
[5]	代庆华 . 上腔静脉阻塞综合征侧支循环解剖及CT表现[J]. 医学信息, 2013(23):428-428.
[6]	穆楠, 隗东方, 吴惠人 . 1例右肾造瘘合并肝素诱导性血小板减少症患者行阿加曲班抗凝连续血液透析的护理[J]. 中华护理杂志, 2017,52(s1):92-95.
[7]	宋一丹, 樊蓉, 王婷 , 等. 1例横纹肌溶解综合征合并多脏器衰竭患者行高截留量连续性血液透析的护理[J]. 中华护理杂志, 2015,50(10):1273-1275.
[8]	肖亚南, 张启芳, 牛桂军 , 等. 内镜下精准断流术治疗食管胃静脉曲张的临床研究[J]. 微创医学, 2018(1):9-11.
[9]	Harish A, Allon M . Arteriovenous graft infection:a comparison of thigh and upper extremity grafts[J]. Am J Kid Dis, 2011,57(4):1739-1743.
[10]	王超, 傅麒宁, 冉坤 , 等. 158例次人工血管动静脉内瘘术后并发症与长期通畅率[J]. 中国血管外科杂志(电子版), 2017,9(1):15-20.
[11]	吴春燕, 王国红, 王文娟 , 等. 血液透析患者人造血管内瘘并发症的护理[J]. 中华护理杂志, 2010,45(1):29-30.

[1]	SHEN Zhijia, CHEN Xinyu, QIAN Zhijie, YIN Limei. Behavioral characteristics of patients with recurrent hypoglycemia in the degeneracy of blood glucose management：a mixed-methods study [J]. Chinese Journal of Nursing, 2024, 59(9): 1043-1050.
[2]	WANG Limei, LI Lu, LI Yuxia, YU Peng, LUO Qian, ZHANG Chongni. The status and influencing factors of kinesiophobia in patients with diabetic peripheral neuropathic pain [J]. Chinese Journal of Nursing, 2024, 59(9): 1051-1056.
[3]	DING Huimin, DAI Limin, CAI Dongqing, YANG Qun. Potential profile analysis and influencing factors of self-management in prediabetic patients [J]. Chinese Journal of Nursing, 2024, 59(9): 1057-1064.
[4]	LIU Haiting, WANG Yongmei, ZHENG Beibei, CAI Lili, YE Linbin, WU Jiayun, NING Li, LI Yimin, CHEN Weixia. Development and reliability and validity test of a Self-Assessment Scale for Medication Literacy in Patients with Coronary Heart Disease Comorbidity Diabetes [J]. Chinese Journal of Nursing, 2024, 59(9): 1065-1071.
[5]	Allergy and Clinical Immunology Committee of Chinese Research Hospital Association, Allergy Care Group, Chinese Society of Allergology, Chinese Medical Association, Allergy Prevention and Control Committee of Chinese Preventive Medicine Association, （Writing Committee：WANG Qing, LIU Jun, ZHI Fan, WAN Wenjin, TIAN Fengying, HUO Xiaopeng, ZHOU Wenhua YANG Yongshi, WANG Tiantian, SUN Jinlü）. Nursing expert consensus on subcutaneous injection for allergen-specific immunotherapy [J]. Chinese Journal of Nursing, 2024, 59(9): 1080-1083.
[6]	LI Qi, SU Qingqing, ZHANG Yaoyao, WANG Tiantian, LÜ Jing, LI Yake, LI Haiyan. A study on the trajectory and influencing factors of joint awareness in patients with total knee arthroplasty [J]. Chinese Journal of Nursing, 2024, 59(9): 1084-1090.
[7]	LIU Ya, LIU Xiaoqing, YANG Xuening, WANG Ping, LIU Xuekui, LUO Dan. Construction and validation of a risk predictive model for the bowel preparation failure in colonoscopy patients [J]. Chinese Journal of Nursing, 2024, 59(9): 1091-1098.
[8]	LI Xuqin, FENG Jiehui, HUANG Fangfang, YU Chao, LIANG Shiyu, WANG Xiao, LI Xufang, ZHU Han. Nursing care of a patient before operation with mechanical circulation-assisted bridging heart transplantation [J]. Chinese Journal of Nursing, 2024, 59(9): 1114-1117.
[9]	JIA Xiaojing, CHEN Yizhu, XU Zhiying, HE Xia, GENG Chao. Nursing care of a patient with acute myocardial infarction after double knee joint replacement due to alkaptonuria [J]. Chinese Journal of Nursing, 2024, 59(9): 1118-1121.
[10]	CUI Yishuang, HE Xifei, WANG Zhaozhao, CHENG Jie, YANG Weimei, LU Lijuan. Shared decision making in acute coronary syndromes：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(9): 1145-1152.
[11]	YU Liangmeng, YU Xiaoling, LI Jiamei, RUAN Xiaofen. Application progress of evidence mapping in nursing field [J]. Chinese Journal of Nursing, 2024, 59(8): 1021-1025.
[12]	GUO Miaomiao, YAN Tingting, XU Dandan, YUAN Ling. Development and application of a whole course management information system for breast cancer [J]. Chinese Journal of Nursing, 2024, 59(8): 901-908.
[13]	QIAO Wenbo, HOU Sijia, ZHU Keping, LI Yaqin, WU Siyuan, QI Ziyi, WANG Wei. Construction and application of a pelvic floor muscle training program for patients with radical prostatectomy [J]. Chinese Journal of Nursing, 2024, 59(8): 909-915.
[14]	LU Ping, WANG Xiaojie, GUO Hailing. Correlation between preoperative frailty and short-term postoperative complications in elderly breast cancer patients [J]. Chinese Journal of Nursing, 2024, 59(8): 916-921.
[15]	YOU Chaoxiang, JIA Mengying, LI Shuang, CHEN Lili, JING Wendan, KOU Hongyan. A study of longitudinal trajectories and predictive factors of symptom clusters in patients with laparoscopic anal preservation surgery for rectal cancer [J]. Chinese Journal of Nursing, 2024, 59(8): 922-929.

血液透析患者突发食管胃底静脉曲张破裂出血的护理

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 11

Related Articles 15

Recommended Articles

Metrics