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1、股静脉置管术后血栓形成的原因分析罗洁成都市第一人民医院肾内科四川成都610041【摘要】目的探讨血液透析患者股脉置管术后血栓形成的相关因素，并提出护理策略•方法研究对象是随机抽取我院2012年5月至2014年4月收治的208例血液透析患者，行股静脉置管术后4周观察超声诊断结果，并将其分为血栓组与非血栓组，分析其形成因素并制定护理策略•结果208例行股静脉置管术后，导管周围血栓共9例，占4・32%,静脉管腔内血栓充填共8例，占3・84%，静脉管腔壁血栓共8例，占3.84%，静脉血栓形成伴狭窄共7例,占3・36%，股静脉血栓形成共32例，占15.38%，股静脉血栓未形成占176例;32例术后静
2、脉血栓形成的患者中,主要因素为导管留置时间长因素共11例，占34.38%,血清胆固醇高共10例，占31.25%,共5例，血浆白蛋白低占15.63%,导管感染共4例，占12.5%,无肝素或肝素减量透析者2例，占6.24%,以上因素与对照组比较均有统计学差异(P<0・05).结论血液透析患者股静脉置管术后血栓形成概率较高，其中导致术后血栓形成的因素有管留置时间长、血清胆•固醇高、低蛋白血症、导管感染、无肝素后肝素减量透析等•临床应引起重视，术后积极进行相关护理,结合超声检查，避免血栓形成.【关键词】血液透析；股静脉置管；血栓；危险因素；护理措施；[Abstract]objective:tost
3、udythefemoralveincatheterhemodialysispatientspostoperativethrombosisrelatedfactors,andputforwardthenursingstrategy・Methods:theresearchobjectisrandomlyselectedfromMay2012toApril2014treated208casesofhemodialysispatients川neoffemoralveincatheterafter4weekstoobservetheultrasonicdiagnosis,anditcanbedivi
4、dedintothrombosisandthrombosisgroup,analyzestheformingfactorsandnursingstrategy.Results:208routinevenipuncturesurgery,catheterthrombosissurroundingatotalof9cases,accountedfor4•32%,8casesofvenouslumenthrombosisinfilling,accounGtedfor3.84%,8casesofvenouslumenatherothrombosis’accountedfor3•84%yenoust
5、hrombosisassociatedwithstenosisinall7cases,accountedfor3•36%,femoralveinthrombosis,atotalof32cases,accountedfor15.38%,accountedfor176casesoffemoralvenousthrombosisdidnotformation;32casesofpostoperGativevenousthrombosispatients^hemainfactorsforcatheterindwellingtimeislong,atotalof11cases,accounting
6、for34.38%,serumcholesterollevels,atoGtalof10cases(31.25%),andatotalof5casesjowplasmaalbumin(15.63%),catheterinfectionin4cases,accountedfor12•5%,withoutheparinorheparinondialysisin2cases,factorsaccountedformorethan6.24%,comparedwiththecontrolgroupwerestatisticallysignificant(P<0•05).Conclusion:hemo
7、dialysispatientspostoperativefemoralveincatheterthrombosisprobabilityishigher,thecausingfactorsofpostoperativethrombosishavelongtubeindwellingtime^ighserumcholesteroLhypoalbuminemia^atheterinfection,noheparindose
