Objective:To internal jugular vein indwelling tube nursing care in acute and severe renal failure in hemodialysis patients,sum up the internal jugular vein indwelling clinical nursing experience and understanding on the tube. Method:92 patients with severe renal failure used internal jugular vein catheter hemodialysis therapy,the treatment of patients with tracking and timely effective nursing science at any time,nursing registration in detail. Result:92 cases were puncture,included 84 cases of right internal jugular vein,8 cases of left internal jugular vein,used Seldinger catheter technology,puncture success,without the occurrence of serious complications associated with catheterization. Conclusion:Internal jugular vein catheterization has the advantages of simple operation,less complications and infection rate,after the relevant operation after the effective specification care of internal jugular vein catheter in patients,the advantages of its remaining time is relatively long,can play a therapeutic application,for patients with renal failure and recovery has a far-reaching significance in the treatment of severe renal failure in patients with blood purification.%目的：针对颈内静脉置管护理在急危重症肾功能衰竭患者血液透析中的应用，总结出颈内静脉置管的临床护理经验及体会。方法：针对性的对92例急危重症肾功能衰竭患者进行颈内静脉置管术行血液透析治疗，随时跟踪观察患者的治疗情况并及时进行有效科学的护理，详细登记护理体会。结果：穿刺92例，其中右侧颈内静脉84例，左侧颈内静脉8例，均采用seldinger置管技术，穿刺成功，未发生与置管相关的严重并发症。结论：颈内静脉置管术具有操作简便、并发症少、感染率小等特点，经过术后有效的规范对患者颈内静脉置管护理的相关操作，其留管时间相对较长的优势，可在急危重症肾功能衰竭患者血液净化的治疗中推广应用，对肾功能衰竭患者的治疗和恢复具有长远的意义。
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