Abstract:

To summarize the nursing experience of a patient with uremia on maintenance hemodialysis complicated by recurrent ventricular tachycardia and treated with transcatheter radiofrequency ablation. Key nursing interventions included：dynamically assessing the patient’s coagulation and bleeding status，being vigilant against the occurrence of deep vein thrombosis，and preventing local and major organ bleeding；implementing goal-oriented volume management strategies to prevent electrolyte disorders；the strengthened management of vascular access to reduce risks of stenosis or occlusion in the arteriovenous fistula；conducting precise assessment and comprehensive intervention to reduce the patient’s psychological and mental burden. After careful treatment and nursing care，the patient was stable and discharged on the 6th postoperative day. During the 2-month outpatient follow-up，cardiac function indicators were normal，and the fistula was unobstructed，and the patient recovered well.

Key words: Uremia, Maintenance Hemodialysis, Ventricular Tachycardia, Radiofrequency Ablation, Vascular Access, Psychological Care

摘要：

总结1例尿毒症维持性血液透析合并频发室性心动过速患者行经导管射频消融术后的护理经验。护理要点：动态评估患者出凝血情况，警惕深静脉血栓形成，预防局部及重要器官出血；实施目标导向的容量管理策略，预防电解质紊乱；强化血管通路管理，预防自体动静脉内瘘狭窄或闭塞；精准评估与综合干预，减轻患者心理及精神负担。经过精心治疗与护理，患者术后6 d病情平稳出院，门诊随访2个月显示心功能指标正常、内瘘通畅，患者恢复良好。

关键词: 尿毒症, 维持性血液透析, 室性心动过速, 射频消融, 血管通路, 心理护理