摘要
目的探讨术中闭塞动静脉内瘘术后自发再通的发生率及相关因素。方法选取在我院首次行自体动静脉内瘘成形术且术中评估内瘘闭塞的慢性肾衰竭患者38例。记录动静脉内瘘手术时患者的年龄、性别、痛觉敏感程度、原发病、收缩压(SBP)、血红蛋白(Hb)、血小板(Plt)、凝血酶原时间(PT)、活性部分凝血活酶时间(APTT)、白蛋白(Alb);留置颈内静脉临时导管时间(T);观察自手术至术后一周内动静脉内瘘是否再通,计算再通发生率;并将其分为再通组及闭塞组,对比分析从中找出内瘘自发再通的相关因素。结果术中评估闭塞内瘘术后出现再通发生率为65.8%。再通组患者年龄比闭塞组年龄小,痛觉敏感者及非糖尿病肾病者在再通组中占比例较闭塞组高,再通组患者颈内静脉留置导管时间明显短于闭塞组患者,差异均有统计学意义(P均<0.01)。结论导致动静脉内瘘术中评估闭塞的内瘘血管自发再通的相关因素为年龄小、痛觉敏感、非糖尿病及术前同侧颈内静脉留置导管时间短。
Objective To investigate spontaneous recanalization of intraoperative surgery and its related factors. Methods All of 38 chronic renal failure patients with occluded artenovenous hstula alter intraoperative occluded arteriovenous fistula in first time surgery had been observed. Their ages, gender, pain sense, protopathy, systolic blood pressure, hemoglobin, platelet, prothrombin time, activated partial thromboplastin time and albumin were collected, maintenance time of temporary catheter in internal jugular vein were recorded. The recanalization rate of arteriovenous fistula was calcu- lated during a week after surgery. The patients were assigned into recanalization groups and occlusion groups. The related fators of recanaliztion were then analyzed. Results The recanalization rate of arteriovenous fistula was 65.8%. Younger, higher proportion of pain sensitive patients and nondiabetic, and less maintenance time of temporary catheter in internal jugular vein were found in recanalization groups, as compared of those of occlusion groups. Conclusion The major factors relating to spontaneous recanalization of intraoperative occluded arteriovenous fistula after surgery were younger, higher pain sense, nondiabetic, and less maintenance time of temporary catheter in internal jugular vein.
出处
《中国现代医生》
2012年第13期42-43,47,共3页
China Modern Doctor
关键词
血液透析
动静脉内瘘
闭塞
再通
Hemodialysis
Arteriovenous fistula
Occlusion
Recanalization
