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用于血液透析的动静脉瘘与糖尿病患者。18例患者的报告。

Arteriovenous fistulas for hemodialysis and the diabetic. A report on eighteen patients.

作者信息

Eklund B, von Bonsdorff M, Lindfors O

出版信息

Scand J Urol Nephrol Suppl. 1977(42):105-7.

PMID:278151
Abstract

Twenty-three subcutaneous arteriovenous fistulas were created for hemodialysis in 18 patients with terminal renal failure due to juvenile diabetes. Seventeen patients received well-functioning fistulas. Four patients needed reoperations due to late failure and the reoperations were successful in three. Venous hypertension syndrome developed in two patients because of thrombosis of the vein proximally to the anastomosis. In one patient extensive arteriosclerotic disease was the cause of late failure of two fistulas. Sepsis with low flow state was the cause of failure in one patient. None of the patients developed clinical signs of arterial insufficiency in the operated limb.

摘要

为18例因青少年糖尿病导致终末期肾衰竭的患者建立了23个皮下动静脉内瘘用于血液透析。17例患者的内瘘功能良好。4例患者因内瘘后期失功需要再次手术,其中3例再次手术成功。2例患者因吻合口近端静脉血栓形成出现静脉高压综合征。1例患者广泛动脉硬化疾病是两个内瘘后期失功的原因。1例患者因脓毒症伴低流量状态导致内瘘失功。所有患者手术肢体均未出现动脉供血不足的临床体征。

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