1.Elevate the operated side limb to promote venous blood return to reduce the degree of swelling. 2, 1-3 days after surgery need to be daily strict disinfection of the skin incision, change the dressing; later, if more blood and fluid seepage dressing should be changed in time; 10-14 days to remove the stitches, dressing without pressure bandage. 3, 24 hours after surgery, you can do appropriate fist clenching action and joint movement to promote blood circulation and prevent thrombosis. 4, 1 week after surgery, if the wound does not ooze blood, infection, you can pinch and hold the rubber ball or rubber band several times a day with the operated side of the hand, 3-5 minutes each time; 2 weeks after surgery, you can trap a tourniquet or elastic bandage with pressure at 10CM above the anastomosis, at the same time, the operated side of the hand does alternate exercises of clenching (or ball) and loosening the fist (or ball), the tourniquet pressure time is about 40 seconds, release the tourniquet The tourniquet is released for about 40 seconds, and then the tourniquet is released for a few moments, and then the tourniquet is pressurized for 20 minutes, repeated 3-4 times a day, to promote the maturation of the internal fistula. 5, the internal fistula side of the limb should not be weight bearing, do not wear watches or jewelry and other items, can not wear narrow cuffs, tight clothing, sleep, pay attention not to pressure. It is forbidden to perform therapeutic activities such as blood sampling, infusion, blood transfusion, blood pressure measurement, etc. on the limb of the internal fistula. 6, keep the internal fistula side of the limb clean and dry, encounter internal fistula local redness, pain, fever or wound ooze, blood, timely medical treatment. 7.It generally takes 4-6 weeks for an internal fistula to mature, and it is best to wait 8-12 weeks before starting to puncture to prolong the life of the internal fistula. 8, the day after dialysis do not wash the puncture site to avoid infection; develop the habit of checking the arteriovenous endovascular fistula and endovascular vessels for patency in the morning, evening and after discomfort. If the tremor or murmur disappears or becomes weaker, please inform the doctor in time.
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