Foran R F, Golding A L, Treiman R L, De Palma J R
Calif Med. 1970 Mar;112(3):8-13.
Data on a study group of 52 maintenance hemodialysis patients cannulated with Quinton-Scribner cannula in a four-year period were analyzed. The average period of dialysis was 11.8 months with either a pumped coil or a pumpless Kiil artificial kidney system. One hundred and forty-five cannulations were performed. The mean arterial cannula survival was 7.8 months and the mean venous cannula survival was 7.2 months. The exceptional longevity of cannula survival occurred despite the high incidence of atherosclerotic changes at operation and the advanced mean age (47 years) of the patients. The cannula longevity may be partially related to the technique used and to meticulous surgical care given the patient before and after cannulation. Complications from cannulation included two deaths, one from septic pulmonary embolism of Staphylococcus origin, and one from acute Pseudomonas endocarditis. A total of 36 infections of cannulas were recognized, the majority being due to Staphylococcus aureus, but 28 percent being secondary to Gram-negative bacteria.
对一组在四年期间使用昆顿-斯克里布纳套管进行血管造瘘的52例维持性血液透析患者的数据进行了分析。使用带泵盘管或无泵基尔人工肾系统时，平均透析时间为11.8个月。共进行了145次血管造瘘。动脉套管平均存活时间为7.8个月，静脉套管平均存活时间为7.2个月。尽管手术时动脉粥样硬化改变发生率高且患者平均年龄较大（47岁），但套管存活时间却异常长。套管的长寿可能部分与所采用的技术以及插管前后给予患者的精心外科护理有关。插管并发症包括两例死亡，一例死于金黄色葡萄球菌引起的脓毒性肺栓塞，另一例死于急性假单胞菌性心内膜炎。共识别出36例套管感染，大多数由金黄色葡萄球菌引起，但28%继发于革兰氏阴性菌。
