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