Application of central venous catheter in hemodialysis in 2 000 cases

Abstract

Objective To discuss the complications and treatment of applying central venous catheter in hemodialysis by observing its application condition.Methods The clinical data of 2 000 patients with centralvenous catheter applied in hemodialysis were enrolled and analyzed retrospectively including 500 cases of long-term duallumen catheters and 1 500 cases of temporary duallumen catheters.The related complications and treatments were analyzed.Results The common complications occurred during catheterizations included inadvertent arterial puncture in 11 cases (0.55％) and ecchymoma in 6 cases (0.3％),while the complications of catheterizations included inadequate blood flow in 24 cases (1.2％),catheter related infection in 23 cases (1.15％),local bleeding in 15 cases (0.75％) and catheter inadvertent withdrawal in 3 cases(0.15％).Above complications were recovered without recurrences after taking corresponding treatments.Conclusion Attention should be paid to the central venous catheter related complications.Improving technology,strengthening nursing care and taking timely treatment are the key points to prevent catheter functional failure. Key words: Hemodialysis; Central venous catheter; Complication; Treatment