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肾移植受者的血管通路

Vascular access in kidney transplant recipients.

作者信息

Karim Muhammad Sohaib, Aryal Prabesh, Gardezi Ali, Clark Dana F, Aziz Fahad, Parajuli Sandesh

机构信息

Division of Nephrology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States of America.

Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.

出版信息

Transplant Rev (Orlando). 2020 Jul;34(3):100544. doi: 10.1016/j.trre.2020.100544. Epub 2020 Mar 14.

Abstract

Vascular access is an important element in the overall care provided to kidney transplant recipients. The transplanted kidney is not indestructible, and chronic kidney disease after transplantation may result in needing another transplant or beginning dialysis. Commonly used vascular accesses, like peripheral and central lines, can preclude the creation of future, permanent dialysis access. Therefore, there is urgent need to preserve vessels for the future access needs for hemodialysis among kidney transplant recipients without functional vascular access for dialysis. Moreover, the proper care of functional vascular access among kidney transplant recipients is crucial. In this review article, we will address the common vascular access procedures and complications among kidney transplant recipients.

摘要

血管通路是为肾移植受者提供的整体护理中的一个重要因素。移植的肾脏并非坚不可摧,移植后慢性肾病可能导致需要再次移植或开始透析。常用的血管通路,如外周静脉和中心静脉导管,可能会妨碍未来建立永久性透析通路。因此,迫切需要为那些没有功能性透析血管通路的肾移植受者保留血管,以满足未来血液透析的通路需求。此外,对肾移植受者功能性血管通路进行妥善护理至关重要。在这篇综述文章中,我们将探讨肾移植受者常见的血管通路操作及并发症。

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