Nursing care of a case of intimal hyperplasia at buttonhole puncture site of arteriovenous fistula
10.3761/j.issn.0254-1769.2024.02.006
- VernacularTitle:1例动静脉内瘘扣眼穿刺处内膜增生患者的护理
- Author:
Mingyan LI
1
;
Yao LU
;
Meibin ZHANG
;
Siyi LI
Author Information
1. 518101 深圳市 南方医科大学深圳医院血液透析中心
- Keywords:
Hemodialysis;
Autogenous Arteriovenous Fistula;
Intimal Hyperplasia;
Buttonhole Cannulation;
Indwelling Trocar;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(2):170-174
- CountryChina
- Language:Chinese
-
Abstract:
The nursing experience of intimal hyperplasia at buttonhole puncture site in a patient with autogenous arteriovenous fistula was reported.The key points of nursing:to formulate a scientific and reasonable internal fistula puncture plan,to establish and maintain the buttonhole tunnel,to regularly monitor the use of arteriovenous fistula,to replace the traditional internal fistula steel needle(hereinafter referred to as the steel needle)with the hemodialysis trocar needle(hereinafter referred to as the trocar needle)for buttonhole puncture,to treat with far infrared ray during each dialysis,and to guide the patient to apply hirudoid cream on the arm of the fistula side.After careful nursing,the intimal hyperplasia at the buttonhole puncture site disappeared,and there was no recurrence after 6 months of follow-up.
