CRRT tube ntsig txog kev saib xyuas feem ntau suav nrog cov hauv qab no:
Kev tu lub hom phiaj: tiv thaiv kev tshem tawm cov raj, kab mob, txhaws, thiab cov ntshav tsis txaus. Qhov no suav nrog kev ruaj ntseg fixation. Kev hnav khaub ncaws feem ntau yog hloov txhua 48 mus rau 72 teev. Yog tias nws muaj kab mob, nws yuav tsum tau hloov tam sim ntawd. Nyob rau tib lub sijhawm, ua tib zoo saib xyuas seb tus neeg mob daim tawv nqaij ntawm qhov chaw tso catheter muaj qhov liab, o, mob, kub, los ntshav, thiab purulent secretions, thiab nruj me ntsis raws li txoj cai ntawm aseptic ua haujlwm.
Tiv thaiv huab cua embolism: xyuas kom lub raj clamp kaw kom nruj kom tsis txhob muaj cua sib xyaw rau hauv lub raj.
Cov raj tshwj xeeb rau kev siv tshwj xeeb: CRRT tob vein catheterization yuav tsum tau siv rau cov raj tshwj xeeb thiab yuav tsum tsis txhob siv rau kev txhaj tshuaj, ntshav kos duab, thiab lwm yam hauv cov xwm txheej tsis muaj xwm txheej ceev. Nws raug nquahu kom kaw lub raj ib zaug txhua 24 mus rau 72 teev, thiab qhov zaus ntawm kev sib khi yuav tsum tau nce ntxiv rau cov neeg mob hypercoagulable thiab tshwj xeeb.
Kev saib xyuas thaum kho: suav nrog kev soj ntsuam ze ntawm tus neeg mob cov cim tseem ceeb, kev kho mob tsis zoo, cov khoom siv hluav taws xob ntxiv thiab cov zis tawm, lub tshuab siab qhov tseem ceeb, thiab sau lawv txhua teev. Thaum kho, ceeb toom ntxov raws sijhawm yuav tsum tau ua raws li kev hloov pauv hauv cov ntaub ntawv siab kom tsis txhob muaj lub tswb nrov. Thaum lub tswb nrov ntawm lub tshuab, qhov ua rau yuav tsum tau ua kom pom tseeb thiab lub tswb yuav tsum tau muab tshem tawm hauv lub sijhawm kom txo tau qhov kev pheej hmoo ntawm kev tshem tawm lub tshuab tsis tau.
Kev saib xyuas tom qab CRRT: Thaum kawg ntawm kev kho ib txwm, cov ntshav rov qab yuav tsum raug txo kom tsawg dua lossis sib npaug li 100ml / min, thiab 0.9% sodium chloride txhaj yuav tsum tau siv rau cov ntshav rov qab mus rau tag nrho. txheej txheem; thaum kev kho mob tsis tau npaj los yog rau cov neeg mob uas muaj lub plawv tsis ua haujlwm, cov ntshav rov qab yuav tsum tau txo qis raws li tus neeg mob lub plawv ua haujlwm; Thaum muaj cov ntshav coagulation hauv cov kav dej, lub tswb tshuab npuas, lub twj tso kua mis nres, thiab lub tswb tsis tuaj yeem nqa lub sijhawm ntev thaum kho, phau ntawv ntshav rov qab tsis tau saib xyuas yuav tsum raug zam, vim tias qhov kev pheej hmoo ntawm thromboembolism yog qhov siab.
Kev saib xyuas catheter: Ua ntej, lub lumen yog yaug nrog cov ntsev ib txwm nyob rau hauv lub sijhawm, thiab tom qab ntawd cov kua sealing yog txhaj rau hauv lub lumen raws li lub ntim catheter zoo li cov mos txwv, lub catheter clamp yog clamped, thiab lub hau heparin yog. npog; thib ob, lub catheter pipeline yog kho los ntawm high-lift platform txoj kev; thib peb, saib seb puas muaj liab, o, thiab exudation ntawm qhov chaw puncture, thiab kho nws raws sijhawm; Thaum kawg, qhia rau tus neeg mob txog qhov tseem ceeb ntawm kev tiv thaiv lub catheter.
Hauv cov ntsiab lus, kev saib xyuas ntsig txog CRRT tube teeb muaj ntau yam, suav nrog cov hom phiaj tu, tiv thaiv huab cua embolism, kev siv lub raj siab, kev saib xyuas thaum kho, kev saib xyuas tom qab CRRT, thiab kev saib xyuas catheter, kom muaj kev nyab xeeb thiab kev ua haujlwm ntawm CRRT kev kho mob. .