摘要
目的充分利用血液透析患者自体血管建立动静脉内瘘,以提高自体动静脉内瘘的使用率。方法选择2007年1月至2011年12月在我院首次接受自体动静脉内瘘手术(其中前臂内瘘128例,上臂内瘘37例)的慢性血液透析患者165例临床资料,进行回顾性分析。结果前臂内瘘术后1个月内闭塞5例;上臂内瘘无一例闭塞,但上臂内瘘血流量较大,压迫止血不充分易造成局部血肿,上臂内瘘可穿刺范围小,静脉易形成动脉瘤。结论前臂血管无法建立内瘘时,上臂内瘘是较好的选择。采取绳梯式穿刺,透明胶带结合指压法止血,可避免动脉瘤及皮下血肿的发生。
Objective To built arteriovenous fistula（AVF） by native vessels of maintenance hemodialysis（HD） patients and enhance the use value of AVF.Methods A retrospective study was conducted in 165 patients,who received the first native AVF operation for maintenance HD in our hospital from Jan,2007to Dec,2011.AVF was in forearm in 128 cases and in upper arm in 37 cases.Results 5 AVF in forearm had occluded,and those in upper arm had no occluded.AVF in upper arm has higher blood flow volume,the scope to puncture was limited.After dialysis,local bled under skin by pressure insufficient on AVF in upper arm.AVF in upper arm were complicated with aneurysm-like dilatation easily.Conclusion AVF in upper arm is better,when the vessels in forearm have no choice at all.To puncture by step,adhesive tape round the arm combined pressure by fingers after dialysis,local hematoma under skin and aneurysm-like dilatation of veins were decreased.
出处
《安徽医学》
2013年第5期584-585,共2页
Anhui Medical Journal
关键词
血液透析
自体动静脉内瘘
并发症
Hemodialisis
Native arteriovenous fistula
Complications
