Information for patients with arteriovenous endovascular fistula

  The patient with arteriovenous fistula should pay attention to what: 1, early after the fistula, should avoid the operation side of the limb force, always pay attention to observe the skin or gauze at the wound for blood, swelling, such as bleeding is obvious, the use of local pressure to stop bleeding, and timely hospital consultation; 2, should be properly elevated side of the limb to alleviate the possible postoperative edema; 3, two weeks after the operation, generally began to clench the fist exercise every day, each time 4. In the early 2 weeks after surgery, or in patients with poor vascular conditions, oral anti-platelet drugs can be taken to prevent thrombosis; 5. Avoid pressure on the endovascular limb, excessive and continuous exertion, intravenous injections, blood pressure measurement, etc. to keep the fistula blood flowing; 6. Prevent hypotension during and after dialysis; control weight appropriately to avoid hypotension caused by excessive dehydration; correct hypotension when it occurs; 7. Correct it promptly; 7. The tremor or auscultatory murmur of touching the blood vessels should be noted at all times after the procedure and at least twice daily during normal times. Especially after the appearance of hypotension and vertigo, you should touch or listen to the vascular tremor and murmur, and if there is any change, seek medical attention promptly; 8. 24 hours after dialysis until before dialysis, apply hot towels twice a day; 9. Patients with thin internal fistula vessels or insufficient flow should pay special attention to avoid the stimulation of cold water and cold wind; 10. Correct compression method to stop bleeding. The compression position is accurate, the force is moderate, the time is avoiding too long, especially when hypotension pay attention to the pressure strength; 12, about one month after the operation to the doctor to assess the follow-up, if the conditions are ripe to start the use of puncture; after that, it is recommended to follow up every 3 months to check, if abnormalities are encountered timely treatment.

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