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血液透析动-静脉造瘘术后并发症的处理 被引量:11

Management of postoperative complications of vascular access for hemodialysis
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摘要 目的 总结血液透析 (血透 )患者动静脉造瘘手术后并发症的处理经验。方法 收集我院 12 0例患者 ,造瘘手术 144例次 ,其中行内瘘 134例次 ,人工血管瘘 10例次。结果 术后的主要并发症 :(1)血栓形成 ,AVF :17%、AVG :6 0 %。内瘘血栓形成多发生于 6周以内 ,治疗以重建新瘘道为主 ,或改建人工血管瘘 ;人工血管瘘血栓以取栓治疗为主 ,同时尽可能修复静脉流出道。 (2 )感染 ,AVG感染率为 10 % ,行引流和移植物切除手术。 (3)充血性心功能衰竭 :3 5 % ,超滤、强心治疗。 (4 )窃血 :1 4% ,行血管成型和旁路架桥手术治疗。 Objective [WT5”BZ] To evaluate the complications and management of permanent vascular access for hermodialysis in patients with end stage renal diseases.[WT5”HZ]Methods [WT5”BZ] From 1989 through 1998, 144 fistulae were created in 120 patients, including primary arteriovenous fistula (AVF) in 134 cases, and arteriovenous graft (AVG) access in 10 cases. [WT5”HZ]Results [WT5”BZ]Thrombosis developed in 17% of AVF cases and 60% of AVG cases. For initial failure (thrombosis developed within 6 weeks), a new access was created, for late thrombosis and graft thrombosis, thrombectomy was undertaken. Infection was another serious complication developing in 10% of AVG cases, usually necessitating the removal of the prostheses and drainage of the abscess.[WT5”HZ]Conclusions [WT5”BZ]Correct management of the complications of vascular access could help in prolonging the patency of the artificial fistula.
出处 《中华普通外科杂志》 CSCD 北大核心 2001年第5期274-275,共2页 Chinese Journal of General Surgery
关键词 动静脉瘘 血液透析 手术后并发症 Arteriovenous fistula Hemodialysis Postoperative complications
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参考文献6

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同被引文献61

  • 1张翠杰,于庆霞,辛淑梅.血液透析病人动静脉内瘘的护理体会[J].中国医药导报,2006,3(23). 被引量:27
  • 2李艳,郑法雷,仇新霞,段琳,朱昭明,陈晓薇.慢性肾功能衰竭患者高同型半胱氨酸血症与血清维生素B_(12)、叶酸、脂蛋白(α)水平的关系[J].中国血液净化,2002,1(9):7-9. 被引量:4
  • 3黎露,钟作树,黄平.动静脉血管内瘘形成术在尿毒症患者治疗中的临床应用[J].浙江临床医学,2005,7(11):1170-1170. 被引量:8
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