The Clinical Analysis on Application of Deep Venous Catheterization in Hemodialysis

Objective To retrospectively analyse the complications and treatmentd of the maintenance hemodialysis patients with deep venous catheterization.Methods The tube method,complications and prevention measures140 patients with deep venous catheterization,including 62 cases of internal jugular vein catheterization,60 cases of femoral vein catheterization,18 cases of semi-permanent internal jugular vein catheterization,were analyzed retrospectively.Results Among 122 cases of temporary catheterization(jugular vein,femoral vein) with usage time of(3-65) days;18 patients with cervical vein semi-permanent catheterization with usage time of(6-30)months,blood flow(200-260) mL/min during dialysis,1 patient developed catheter-related infections;8 patients had bleeding at the puncture sites;10 patients had poor blood flow or thrombosis;2 cases catheter fell off.Conclusion Deep venous catheterization in hemodialysis patients is an ideal temporary vascular access;catheter thrombosis and infection are the most common complications;correct sealed tube method,strict aseptic operation,and the application of urokinase and antibiotics can extend its service life.