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儿科导管相关血栓的药物治疗

Pharmacologic treatment of catheter-related thrombus in pediatrics.

作者信息

Ruble K, Long C, Connor K

出版信息

Pediatr Nurs. 1994 Nov-Dec;20(6):553-7.

PMID:7708454
Abstract

Venous and arterial catheters are being used with increasing frequency in pediatric populations. As part of the comprehensive management of these catheters, nurses need to be aware of the more common catheter-related thrombus problems. An understanding of pharmacologic treatment using Streptokinase and Urokinase for thrombus in central lines, hemodialysis grafts, and umbilical artery catheters can help nurses develop protocols to care for patients with these devices. The appropriate use of thrombolytic therapy can restore function to many catheters thereby saving the patient the cost and morbidity associated with removal and replacement of a dysfunctional catheter.

摘要

静脉导管和动脉导管在儿科人群中的使用频率越来越高。作为这些导管综合管理的一部分,护士需要了解更常见的与导管相关的血栓问题。了解使用链激酶和尿激酶治疗中心静脉导管、血液透析移植物和脐动脉导管中的血栓的药物治疗方法,有助于护士制定针对使用这些装置的患者的护理方案。适当使用溶栓疗法可以恢复许多导管的功能,从而为患者节省与移除和更换功能失调导管相关的费用和发病率。

相似文献

1
Pharmacologic treatment of catheter-related thrombus in pediatrics.儿科导管相关血栓的药物治疗
Pediatr Nurs. 1994 Nov-Dec;20(6):553-7.
2
Urokinase administration in pediatric patients with occluded central venous catheters.
J Intraven Nurs. 1990 Mar-Apr;13(2):100-2.
3
Urokinase therapy in neonates with catheter related central venous thrombosis.尿激酶治疗新生儿导管相关性中心静脉血栓形成
Thromb Haemost. 1995 Feb;73(2):180-5.
4
Management of a large organized intraatrial catheter-tip thrombus in a child with acquired immunodeficiency syndrome using escalating tissue plasminogen activator infusions.使用递增剂量的组织纤溶酶原激活剂输注治疗一名患有获得性免疫缺陷综合征儿童的大型有组织的心房导管尖端血栓。
Pediatr Crit Care Med. 2005 Jan;6(1):79-82. doi: 10.1097/01.PCC.0000149681.08212.2E.
5
Reestablishing patency in an occluded central venous access device.恢复阻塞的中心静脉通路装置的通畅性。
Crit Care Nurse. 1989 May;9(5):114-21.
6
Urokinase efficacy in the restoration of hemodialysis catheter function.
J CANNT. 1998 Spring;8(2):17-9.
7
The use of thrombolytic therapy in venous thromboembolic disease.溶栓疗法在静脉血栓栓塞性疾病中的应用。
Conn Med. 1981 Sep;45(9):551-4.
8
[Fibrinolytic therapy with streptokinase and urokinase in deep venous thrombosis].
Med Klin (Munich). 1986 Feb 14;81(3):79-84.
9
[Tesio twin catheter system for hemodialysis tunnelized using an echo-guided technique. Retrospective analysis of 210 catheters].[采用超声引导技术置入的用于血液透析的特西奥双腔导管系统。对210根导管的回顾性分析]
Nefrologia. 2006;26(6):719-25.
10
[Thrombolytic therapy in acute deep venous thrombosis of the lower limbs: selection, indications and limits].
Minerva Chir. 1987 Dec 31;42(23-24):2031-5.