Ströhmann F, Devaux S, Mau H
Kinderchirurgische Abteilung, Humboldt-Universität zu Berlin.
Zentralbl Chir. 1990;115(22):1449-57.
It is reported about 100 children undergo chronic hemodialysis. The most frequent operation is to get a sufficient vascular access. The Cimino-fistula is the best access. There is no more any regularly indication creating a Scribner-Shunt. The nephrectomy as also a frequent operation is complicated by bleeding. To cure the renal osteopathy total parathyroidectomy with autotransplantation is used. Gastritis, pancreatitis and disturbance of bowel movement are seen. The enhancement of renal transplantation will help to diminish mortality of patients undergoing hemodialysis.
据报道，约有100名儿童接受慢性血液透析。最常见的手术是获得足够的血管通路。西米诺内瘘是最佳的通路。不再有常规指征进行斯克里布纳分流术。肾切除术也是一种常见手术，但会因出血而复杂化。为治疗肾性骨病，采用全甲状旁腺切除术并自体移植。可见胃炎、胰腺炎和肠道运动紊乱。肾移植的增加将有助于降低接受血液透析患者的死亡率。
