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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >Effect of the position of the bevel of the needle on access to the internal arteriovenous fistula.
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Effect of the position of the bevel of the needle on access to the internal arteriovenous fistula.

机译：针的斜面位置对进入动静脉内瘘的影响。

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FERNANDEZ CASTILLO, Rafael; CANADAS DE LA FUENTE, Guillermo A.; FERNANDEZ GALLEGOS, Ruth 聽and聽 CANADAS DE LA FUENTE, Gustavo R.. Effect of the position of the bevel of the needle on access to the internal arteriovenous fistula. Rev Soc Esp Enferm Nefrol [online]. 2008, vol.11, n.4, pp.254-258. ISSN 1139-1375.Introduction: The arteriovenous fistula, is today the vascular access of choice in patients with Chronic Kidney Disease in terminal renal replacement therapy. However, over the time and after repeated punctures, fistulas tend to deteriorate and develop a number of complications such as: aneurysms, thrombosis, stenosis and infections. Objectives: This study intends to evaluate two methods of puncture, by the position of the bevel of the needle, upwards or downwards with the following objective: To compare the bleeding at the site of the vascular access, and determine whether the position of the bevel influences at the time of haemostasis after haemodialysis. Methodology: The sample was composed of 100 patients in haemodialysis programme, aged between 24 and 72. The average duration of dialysis session was 4 hours. We studied variables such as difficulties accessing fistula, bleeding at the puncture, bleeding during the dialysis and later, bleeding from fistula after haemostasis, heparin dosage at the beginning and end of dialysis and total dose of heparin. Results: The bevel聮s position down reduces bleeding from the puncture area, facilitates puncture in the area of access to the fistula and minimizes bleeding at the puncture site.
机译：拉斐尔·费尔南德斯·卡斯蒂略;吉列尔莫A. FERNANDEZ GALLEGOS，Ruth和CANADAS DE LA FUENTE，Gustavo R.。针头斜面位置对进入动静脉内瘘的影响。 Rev Soc Esp Enferm Nefrol [在线]。 2008年，第11卷，第4期，第254-258页。 ISSN 1139-1375。简介：如今，动静脉瘘是接受终末肾脏替代治疗的慢性肾脏病患者的首选血管通路。然而，随着时间的流逝和反复穿刺后，瘘管趋于恶化并发展出许多并发症，例如：动脉瘤，血栓形成，狭窄和感染。目的：本研究旨在评估两种穿刺方法，即按针的斜角位置向上或向下进行穿刺，以实现以下目的：比较血管通路部位的出血，并确定斜角位置血液透析后止血时的影响。方法：样本由100名年龄在24至72岁之间的血液透析患者组成。平均透析时间为4小时。我们研究了一些变量，例如难以触及的瘘管，穿刺处的出血，透析期间和之后的出血，止血后瘘管的出血，透析开始和结束时的肝素剂量以及肝素的总剂量。结果：斜面的位置向下可减少从穿刺区域流出的出血，有利于在进入瘘管的区域进行穿刺，并最大程度地减少了穿刺部位的出血。

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