Objective To explore effects of programming puncture method on success rate and complication inpatients with hemodialysis. Methods According to inclusion and exclusion criteria, 100 cases with hemodialysis were collected and were divided into two groups: the study group and the control group with 50 patients in each group. The study group performed programming puncture method while the control group conducted conventional puncture method. Success rate of puncture, incidence of fistula thrombosis and complications were compared between two groups. Results One-time success rate of puncture in study group was 99.98% higher than 95.99% in control group. Furthermore, no patient occurred fistula thrombosis and pseudoaneurysm in study group. In addition, in bleeding of puncture site, the study group was better than the control group too. Conclusions Programming puncture method can improve the success rate of fistula puncture, reduce the fistula thrombosis rate and other complications in patients with hemodialysis.

对1例行心肝肾联合移植术患者于术后第7天应用连续性肾脏替代治疗(CRRT),肾功能好转。提出对心肝肾联合移植术后患者行CRRT治疗,需做好病室环境准备,积极预防压疮,保持血管通路通畅、体外循环血路严格无菌,严密观察治疗期间病情变化,随时调整血泵速度,做好置换液的管理及血流动力学的监护和机器报警处理等,可提高治疗效果。