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1Clinical Investigation of infections due to double-lumen venous catheter with cuff

Min CHENG,Wen-ji HE,Xiao-hui CHU

OBJECTIVE To investigate the influence of double‐lumen venous catheter with cuff on infections in hemodialysis patients ,so as to find the best way to reduce infection rates .METHODS Totally 35 hemodialysis patients who received hemodialysis and double lumen venous catheter with cuff during Feb .2010 to Jan .2014 were enrolled .The prevention of related complications was strengthened ,and the service life of catheter ,infection rate ,complications and clinical results after treatment were observed .RESULTS Totally 7 out of 35 patients developed infections , the infection rate was 20 .0% . Advanced age , long catheter indwelling time , repeated catheter and thrombus formation were related factors for infections in catheterized patients , and the rate of infection due to these factors was respectively 50 .00% ,27 .78% ,40 .00% ,and 36 .36% .Totally 11 pathogens were isolated ,including 5 Staphylococcus aureus ,3 Staphylococcus epidermidis ,accounting for 45 .46% and 27 .27% .Six out of the 7 infected patients were cured and one in the 7 patients was dead due to infectious shock after the second extubation .CONCLUSION Double‐lumen venous catheter with cuff can reduce the incidence of infection in hemodialysis patients and improve clinical results .Clinicians should strengthen nursing management and master catheterization indications .

2015Chinese Journal of Nosocomiology（2015）引用：2

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2白蛋白预充在高龄顽固性血透相关性低血压患者中的应用

金海芽,何东元,褚笑慧,何文姬

<正>因各种原因行透析的老年患者,透析中出现低血压较为突出,而低血压可使透析治疗不能顺利进行,影响患者透析的充分性。对于顽固性低血压,目前并无特效的处理办法,本院试用白蛋白预充纠正1例顽固性低血压患者,效果良好,具体情况如下。1资料和方法1.1一般资料:患者,男,93岁,离休干部,入院诊断:1)慢性肾炎综合征、慢性肾脏病5期、肾性贫血;

2013Prevention and Treatment of Cardio-Cerebral-Vascular Disease（2013）引用：1

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3影响老年血液透析患者非计划下机的原因及护理对策

曹雪,金海芽,褚笑慧

<正>随着我国人口老龄化进程的加快,患肾病的人数也在逐年增多,据文献资料报道,我国60岁以上的老年人每10万人中有15.43人患慢性肾功能衰竭。血液透析是治疗终末期肾脏病(endstagerenaldisease,ESRD)的主要治疗措施之一[1]。越来越多的研究证据表明,充分透析可以提高患者长期生存率、降低死亡率、改善生活质量。影响血液透析充分性的因素很

2013Prevention and Treatment of Cardio-Cerebral-Vascular Disease（2013）引用：3

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4不同治疗方法对高龄血液透析患者低血压的干预效果

何文姬,陈峰敏,褚笑慧,王霞,顾琛

随着透析技术的进步和透析质量的提高,透析人群中老年患者比例大量增加.高龄患者多伴有心血管并发症.透析治疗中常因低血压诱发心律失常,甚至循环衰竭,严重危害健康及生命[1],因此及时有效地预防透析过程中的低血压尤为重要.本文通过对26例老年透析病人(共1616次透析)按不同时间采取不同的干预方法比较其低血压发生率,发现低温可调钠透析结合参附制剂可有效预防高龄患者低血压的发生.现报告如下:

2009Prevention and Treatment of Cardio-Cerebral-Vascular Disease（2009）引用：4

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5对维持性血液透析高龄患者营养不良的干预

陈峰敏,顾琛,褚笑慧,王霞,何文姬

随着我国正步入老龄化社会,进行血液透析的高龄患者也日益增多.高龄透析患者往往在透析前已存在营养不良,进行透析后,如营养管理不善,营养不良则更为明显.本科2007年6至12月对26例维持性血液透析高龄患者进行6个月的营养不良干预,取得了较好效果.报告如下.

2008Zhejiang Clinical Medical Journal（2008）

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6老年维持性血透患者自体内瘘血管常见并发症的护理

陈峰敏,褚笑慧,王霞,顾琛,何文姬

老年人进行维持性血液透析时所建自体动静脉内瘘的成功率较低,且容易发生各种并发症,因此,各项护理措施十分重要.现将自体内瘘血管的老年维持性血液透析患者的护理体会介绍如下.

2007Journal of Nurses Training（2007）引用：15

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7连续性静脉—静脉血液滤过抢救老年多器官功能障碍综合征的护理

陈峰敏,牟利军,褚笑慧,王霞,顾琛,陈建国

目的总结连续性静脉—静脉血液滤过(CVVH)抢救74例老年多器官功能障碍综合征(MODSE)的护理经验。方法对74例MODSE患者采用CVVH治疗,检测治疗前后pH值、血肌酐变化情况。结果74例MODSE病患者经综合抢救及连续性静脉—静脉血液滤过治疗后动脉血pH值、HCO3-较治疗前升高,BE和血肌酐较治疗前显著下降(P<0.05)。存活22人,总存活率为30%。结论CVVH能纠正MODSE患者内环境紊乱,改善预后,提高存活率。

2007Zhejiang Practical Medicine（2007）引用：1

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846例老年维持性血透患者营养不良分析