血液透析血管通路假性动脉瘤34例临床分析

Clinical study on pseudoaneurysm of vascular access for hemodialysis

目的 研究血液透析血管通路假性动脉瘤的临床特点、诊断及处理。方法 对 34例假性动脉瘤的患者 (年龄 2 5～ 70岁 )进行了前瞻性统计分析。每人每周透析 2次。结果 32例应用假性动脉瘤进行个体化血液透析 ,血流量达 180～ 2 90 m L/ min,及时手术治疗假性动脉瘤 2例。结论 血管穿刺后出现假性动脉瘤能够进行紧急及常规血液透析 ,方法简便易行 ,能取得良好的血液透析效果。

Objective To study clinical features, diagnosis and management of pseudoaneurysm of vascular access for hemodialysis.Methods The long term result was analyzed in 34 cases with chronic renal failure patients who underwent pseudoaneurysm for hemodialysis.A prospective study was made.Thirty four patients,aged 25 and 70, were investigated,2 times every week of hemodialysis.Results As pseudoaneurysm,its blood flow was up tp 180～290 mL/min.Recommendation regarding type of dialysis must be individualized.Conclusion The occurrence of pseudoaneurysm after puncture can be used for emergent or routine hemodialysis,this method is simple,easy to do,gaining a good hemodialytic result.