1例维持性血液透析患者并发内瘘皮肤过敏伴透中发热反应的护理个案并文献复习
杨艳艳1 李庆2 张俊玲3

1保山市人民医院 肾病内科，云南省保山市，678000；

2保山市人民医院 急诊科，云南省保山市，678000；

3昆明医科大学第一附属医院 肾脏内一科，云南省昆明市，650032；

摘要：报告1例维持性血液透析患者并发内瘘皮肤过敏（水泡、红斑、瘙痒、色素沉着）及透中皮肤灼热感、血压骤升的护理。采用“三重阻断”抗过敏（氯己定替代碘伏消毒、纱布替代敷贴、曲咪新乳膏外用），结合瘢痕处理（喜辽妥按摩、压力袖套）、血压管理及透析优化。动静脉内瘘穿刺点无水泡生成、红斑显著好转，但透中皮肤灼热需进一步研究。凸显个性化护理对处理多重并发症的重要性。

关键词：维持性血液透析；动静脉内瘘；皮肤过敏；透析相关发热；瘢痕增生；护理干预

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