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动静脉内瘘具有使用方便、易于穿刺、创伤小等优点,是目前血液透析最常用的血管通路。维持动静脉内瘘的良好状态,保证血管通路的通畅是维持性血液透析期间护理工作的重点。动脉端向心方向穿刺与离心方向穿刺各有优缺点,临床要根据患者血管情况选择性地采用不同的穿刺方向,充分发挥其优点,避免其缺点导致的内瘘并发症,提高内瘘血管的使用时间及通畅率。
Arteriovenous fistula with easy to use, easy to puncture, trauma and other advantages, is the most commonly used hemodialysis vascular access. Maintenance of arteriovenous fistula in good condition, to ensure that the vascular access patency is the focus of nursing work during maintenance hemodialysis. Arterial end to the heart of the puncture and centrifugal puncture have their own advantages and disadvantages, according to the clinical situation of patients with selective selective use of blood vessels puncture direction, give full play to its advantages, to avoid its shortcomings caused by fistula complications and improve the fistula of the blood vessels Use time and patency rate.