Experience in percutaneous transluminal angioplasty nursing of 13 hemodialysis patients with central venous stenosis
10.3760/cma.j.issn.1674-2907.2016.01.018
- VernacularTitle:13例中心静脉狭窄血液透析患者行经皮腔内血管成形术的护理
- Author:
Xiaolin LYU
1
;
Yifei GE
;
Xun MA
Author Information
1. 210029,南京医科大学第一附属医院肾科
- Keywords:
Hemodialysis;
Perioperative nursing;
Central venous stenosis;
Phlebography;
Percutaneous transluminal angioplasty
- From:
Chinese Journal of Modern Nursing
2016;22(1):70-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the process of percutaneous transluminal angioplasty nursing of 13 hemodialysis patients with central venous stenosis. Methods Preoperative communication should be prepared to eliminate the patient′s anxiety. We closely observed the patient′s vital signs and were concerned about the surgery process during operation. We observed the patient′s affected limb and prevent the complications and central venous re-stenosis after operation. Results Limb and facial edema and other symptoms eased in 13 patients after surgical expansion, and 1 patient swelled in limbs with fistula which was relieved after repeating percutaneous transluminal angioplasty. Conclusions Before percutaneous transluminal angioplasty, we should provide mental communication for patients to eliminate their fears and misgivings, and take full account of operational risks and related countermeasures. We should closely observe the patient′s vital signs, be concerned about the surgery process and keep IVs flowing smoothly in operation. Meanwhile, we should pay attention to patients′ condition and affected limbs, prevent the complications positively and central venous re-stenosis after operation.
