Wytrzes L, Markley H G, Fisher M, Alfred H J
Neurology. 1987 Aug;37(8):1398-400. doi: 10.1212/wnl.37.8.1398.
Peripheral mononeuropathies may complicate distal arteriovenous fistulas for chronic renal dialysis. We observed three diabetic patients who developed pain, paresthesias, and weakness in the distribution of the median, ulnar, and radial nerves shortly after construction of proximal brachial artery-antecubital vein fistulas. EMG confirmed multiple distal nerve injuries. All three patients improved after shunt banding or ligation. Twenty additional patients with proximal shunts were examined for risk factors for brachial neuropathy. Although all patients had severe atherosclerosis and many had polyneuropathy, we identified no predictive risk factors other than diabetes.
周围性单神经病可能使慢性肾透析的动静脉远端瘘变得复杂。我们观察了3例糖尿病患者，他们在肱动脉近端-肘前静脉造瘘术后不久，正中神经、尺神经和桡神经分布区域出现疼痛、感觉异常和无力。肌电图证实存在多处远端神经损伤。所有3例患者在分流束带术或结扎术后病情均有改善。另外对20例有近端分流的患者进行了臂丛神经病危险因素检查。尽管所有患者均有严重动脉粥样硬化，许多患者还有多发性神经病，但除糖尿病外，我们未发现其他预测性危险因素。
