Management after autogenous arteriovenous fistula plasty

1. Use of anticoagulant: If the patient is in hypercoagulable state or has low blood pressure and no bleeding after operation, systemic anticoagulation can be given, such as oral aspirin tablets and clopidogrel, or subcutaneous injection of low molecular weight heparin, but attention should be paid to individualization.

2, postoperative bleeding: If there is less bleeding, you can gently press to stop bleeding, and pay attention to maintaining the existence of vascular tremor when pressing; If there is much bleeding, it is necessary to cut the wound, find the bleeding point, and ligate to stop bleeding.

3. Functional examination: After operation, the vein can touch tremor and hear vascular murmur. Early postoperative examination should be repeated in order to find thrombus early and deal with it in time.

4. Properly raising the limb on the surgical side of internal fistula can reduce limb edema.

5. Change the dressing every 3 days 1 time, and take out stitches every 10 ~ 14 days. Pay attention to dressing without pressure.

6, pay attention to the posture and cuff tightness, to avoid internal fistula compression limbs.

7. Avoid limb blood transfusion, internal fistula side blood transfusion and blood test after operation.

8. It is forbidden to measure the blood pressure on the surgical side, and it is forbidden to wrap a tourniquet on the upper limb on the surgical side within 2 weeks after operation.

9, 24 hours after the operation, the operation side hand can do fist clenching and wrist movement appropriately to promote blood circulation and prevent thrombosis.