Thermann Florian, Kornhuber Malte
Department of Vascular Surgery, University Teaching Hospital St. Elisabeth and St. Barbara, Halle, Germany.
J Vasc Access. 2011 Apr-Jun;12(2):113-9. doi: 10.5301/jva.2011.6365.
The creation of a vascular access for hemodialysis is a frequently performed procedure. Ischemic monomelic neuropathy (IMN) is a rare, but important complication of hemodialysis access (HA) procedures, which can lead to severe and nonreversible limb dysfunctions. Therefore, in any case of postoperative neurological malfunction, immediate neurological investigations should be undertaken. If IMN is diagnosed, improvement of distal perfusion should be established without delay. IMN is a form of hemodialysis-associated ischemic syndrome (as the so-called steal syndrome), but experiences with this complication are small. Every case of IMN should be carefully documented and if possible published, to gain more experience about this rare but important complication.
建立用于血液透析的血管通路是一种经常进行的手术。缺血性单肢神经病变（IMN）是血液透析通路（HA）手术中一种罕见但重要的并发症，可导致严重且不可逆的肢体功能障碍。因此，在任何术后神经功能障碍的情况下，都应立即进行神经学检查。如果诊断为IMN，应立即改善远端灌注。IMN是血液透析相关缺血综合征的一种形式（即所谓的盗血综合征），但关于这种并发症的经验较少。每例IMN都应仔细记录，如有可能应予以发表，以获取更多关于这种罕见但重要并发症的经验。
