透析患者动静脉内瘘闭塞原因分析

摘要

Objective To analyze the cause of arteriovenous fistula occlusion of patients with dialysis, in order to provide evidence for the prevention of the situation and protection of ifstula. Methods 44 cases (40 patients) with arteriovenous ifstula occlusion who were treated with dialysis in our hospital from September 2008 to September 2016 were selected as the research object, and the cause of arteriovenous fistula occlusion were analyzed. Results 44 cases were all with hypotension. And 18 cases were with diabetic nephropathy. 16 cases were with Hemoglobin 120~150 g/L, 10 cases were with prolonged oppression after dialysis, 8 cases were with body weight, 3 cases were with ifstula oppression, 3 cases were with insufficient blood flow during the dialysis. Conclusion The hypotension is the main cause of arteriovenous ifstula occlusion of patients withdialysis, and the diabetic nephropathy and nursing of ifstula should be paid to more intervention.%目的：总结动静脉内瘘闭塞病例的发生原因，以为此类情况的预防及保护内瘘提供依据。方法选取2008年9月～2016年9月本院的44例次（40人次）的血液透析且发生动静脉内瘘闭塞的患者为研究对象，将其进行动静脉内瘘闭塞发生原因进行分析。结果44例次动静脉内瘘闭塞患者均存在低血压情况，且其中糖尿病肾病18例。血红蛋白在120～150 g/L者16例，透析后压迫时间过长10例，做瘘肢体负重8例，压迫瘘口者3例，3例患者在透析过程中存在血流量不足的情况。结论低血压是导致透析患者动静脉内瘘闭塞病例发生的主要原因，糖尿病肾病及内瘘护理也应给予更多的干预。