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2007年1月至2015年12月行腹膜透析的808例患者中有13例发生腹膜透析导管体外部分破损,破损后发生腹膜炎10例,其中3例因腹膜炎终止透析。分析原因可能有:导管某部位长期折叠牵拉,患者及家属知识缺乏使用剪刀剪断,锐器意外刺破导管。经临床观察总结,提出加强患者及家属的健康教育、制订腹膜透析导管意外处理流程、加强院外电话随访的护理对策,以提高患者的自我护理能力。
From January 2007 to December 2015, 13 out of 808 patients who underwent peritoneal dialysis had partial peritoneal dialysis in vitro, 10 cases of peritonitis after injury, of which 3 cases were terminated due to peritonitis. Analysis of the reasons may be: a part of the long-term traction catheter traction, lack of knowledge of patients and their families using scissors to cut, sharp accidental puncture catheter. After clinical observation and summary, we proposed strengthening the health education for patients and their families, formulating the accidental treatment procedure of peritoneal dialysis catheters, and strengthening the care strategies of telephone follow-up by hospital to improve the self-care ability of patients.