动静脉内瘘皮下血肿的常见处理方法

刘自普

<h3>血管通路被称为血液透析患者的生命线。自体动静脉内瘘是血液透析患者最优选的“生命线”。自体动静脉内瘘是通过外科手术,吻合患者外周动脉和浅表静脉。建立血管通路,使动脉血液流至浅表静脉,达到血液透析所需要的血液流量,便于血管穿刺,所建立的血液透析体外循环。</h3> <h3>血管通路被称为血液透析患者的生命线。自体动静脉内瘘是血液透析患者最优选的“生命线”。自体动静脉内瘘是通过外科手术,吻合患者外周动脉和浅表静脉。建立血管通路,使动脉血液流至浅表静脉,达到血液透析所需要的血液流量,便于血管穿刺,所建立的血液透析体外循环。</h3> <h3>动静脉内瘘穿刺后皮下血肿处理的常用方法有: <br></h3> <section class="" style="max-width: 100%; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; line-height: 27.2px; border: 0px none; word-wrap: break-word !important;"><section class="" style="max-width: 100%; word-wrap: break-word !important;"><section class="" style="max-width: 100%; word-wrap: break-word !important;"><section class="" data-tools="135编辑器" data-id="89195" style="max-width: 100%; border: 0px none; word-wrap: break-word !important;"><section style="max-width: 100%; text-align: left; word-wrap: break-word !important;"><section style="padding-right: 5px; padding-left: 2px; max-width: 100%; display: inline-block; border-radius: 20px; height: 30px; line-height: 25px; color: rgb(254, 254, 254); background: rgb(239, 112, 96); word-wrap: break-word !important;"><section style="max-width: 100%; display: flex; word-wrap: break-word !important;"><p class="" style="margin-top: 3px; margin-right: 5px; max-width: 100%; clear: both; min-height: 1em; width: 24px; height: 24px; border-radius: 100%; background: rgb(254, 254, 254); color: rgb(239, 112, 96); font-size: 18px; text-align: center; word-wrap: break-word !important;">1<span class="" data-original-title="" title="" style="max-width: 100%; word-wrap: break-word !important;"></span></h3><p class="" data-brushtype="text" style="padding-right: 15px; padding-left: 5px; max-width: 100%; clear: both; min-height: 1em; font-size: 18px; color: rgb(255, 255, 255); min-width: 1em; line-height: 30px; word-wrap: break-word !important;"><strong style="max-width: 100%; word-wrap: break-word !important;">紧急处理</strong></h3></section></section></section></section><p style="max-width: 100%; clear: both; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 微软雅黑; font-size: 16px; line-height: inherit; word-wrap: break-word !important;">&nbsp; &nbsp; &nbsp;出现血肿后立即冰敷至消肿,24h后给予热敷</span><span style="max-width: 100%; font-family: 微软雅黑; font-size: 16px; line-height: 1.6; word-wrap: break-word !important;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</span><span style="letter-spacing: 0.544px;">&nbsp;</span><span style="letter-spacing: 0.544px;">&nbsp;</span></h3></section></section></section> <h3>2</h3><h3><font color="#010101">50%硫酸镁湿热敷 方法:透析24h以后将50%硫酸镁无菌溶液适量倒入清洁容器内,再把容器放入另一个较大盛有60℃热水的容器内隔水加热,加入无菌纱布于50%硫酸镁溶液中浸泡后,将多余水分拧去,使纱布不滴水为宜,湿敷于动静脉内瘘皮下血肿、肿胀部位,范围大于血肿、肿胀部位1cm,每天三次,每次半小时,直至动静脉内瘘皮下血肿完全消失。</font><br></h3> <h3>3 喜疗妥涂抹<br></h3><h3>方法:24h后热敷结束取适量喜疗妥乳膏擦于动静脉内瘘皮下血肿部位,并轻柔5分钟,每天三次。<br></h3> <h3>4 马铃薯外敷 方法:将新鲜马铃薯切薄片外敷于动静脉内瘘皮下血肿、肿胀部位,范围大于皮下血肿、肿胀部位lcm,30分钟/次,每天三次,直至动静脉内瘘皮下血肿完全消失。<br></h3> <h3>5 红外线照射 方法:每次血透时为患者照射,距离动静脉内瘘30~50cm,时间30min,减少动静脉内瘘血管发生狭窄、闭塞的严重并发症。</h3> <h3><font color="#010101">6 中药敷料外敷 活血化瘀类中药敷料外敷,如意黄金散等 </font><br></h3> <h3><font color="#167efb">邢台市第九医院/巨鹿县医院血液透析科全体医护人员竭诚为您服务!!</font></h3>