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自体动静脉内瘘在家庭血液透析中的应用。

Use of internal arteriovenous fistula in home haemodialysis.

作者信息

Shaldon S, McKay S

出版信息

Br Med J. 1968 Dec 14;4(5632):671-3. doi: 10.1136/bmj.4.5632.671.

DOI:10.1136/bmj.4.5632.671
PMID:5723384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1912747/
Abstract

Five patients with previous experience of home haemodialysis (lasting one to two years) had internal arteriovenous fistulae created in a previously non-cannulated limb. After training of the spouses or patients to insert the needles, the arteriovenous cannulas were removed and the patients maintained on fistula dialysis in the home, unattended, overnight, for periods of 1 to 11 months (total patient experience of 30 months). All patients expressed a preference for the arteriovenous fistula, and no significant medical complications have been noted to date.The safe use of a blood pump in the home, overnight, was achieved by the addition of an extra monitor on the outflow (arterial) blood line.

摘要

5名曾有家庭血液透析经历(持续1至2年)的患者在之前未进行过插管的肢体上建立了动静脉内瘘。在对配偶或患者进行了穿刺针插入培训后,移除动静脉插管,患者在家中无人照料的情况下进行夜间内瘘透析,持续1至11个月(患者总体验时长为30个月)。所有患者均表示更倾向于使用动静脉内瘘,且迄今为止未发现明显的医学并发症。通过在流出(动脉)血路上增加一个额外的监测器,实现了在家中夜间安全使用血泵。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/1912747/f6932f9cbd33/brmedj02114-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/1912747/4474a770f500/brmedj02114-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/1912747/f6932f9cbd33/brmedj02114-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/1912747/4474a770f500/brmedj02114-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce75/1912747/f6932f9cbd33/brmedj02114-0038-a.jpg

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Use of internal arteriovenous fistula in home haemodialysis.自体动静脉内瘘在家庭血液透析中的应用。
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引用本文的文献

1
Selection in maintenance haemodialysis.维持性血液透析中的选择
Br Med J. 1971 Mar 27;1(5751):688.
2
Experience with home dialysis using arteriovenous fistulas.使用动静脉内瘘进行家庭透析的经验。
Can Med Assoc J. 1970 Dec 5;103(12):1289-90.
3
Dialysis and mortality.透析与死亡率

本文引用的文献

1
HEMODIALYSIS IN THE HOME.家庭血液透析
Trans Am Soc Artif Intern Organs. 1965;11:7-10. doi: 10.1097/00002480-196504000-00003.
2
ALARM DEVICE WITH AUTOMATIC CUT-OUT FOR THE KOLFF TWIN-COLI KIDNEY.用于科尔夫双管肾的带自动切断装置的警报器
Lancet. 1963 Oct 19;2(7312):815. doi: 10.1016/s0140-6736(63)90506-3.
3
Access to circulation by permanent arteriovenous fistula in regular dialysis treatment.在常规透析治疗中通过永久性动静脉内瘘建立血液循环通路。
Br Med J. 1970 Mar 7;1(5696):630. doi: 10.1136/bmj.1.5696.630-a.
4
Air embolism during haemodialysis.血液透析期间的空气栓塞
Br Med J. 1971 Jul 10;3(5766):74-8. doi: 10.1136/bmj.3.5766.74.
5
Infections of Scribner and Brescia arteriovenous shunts.斯克里布纳和布雷西亚动静脉分流术感染
Br Med J. 1971 Aug 14;3(5771):408-9. doi: 10.1136/bmj.3.5771.408.
Br Med J. 1967 Dec 9;4(5579):586-9. doi: 10.1136/bmj.4.5579.586.
4
Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula.采用静脉穿刺和外科造瘘进行慢性血液透析。
N Engl J Med. 1966 Nov 17;275(20):1089-92. doi: 10.1056/NEJM196611172752002.
5
Some experiences with the use of arteriovenous fistulae in chronic haemodialysis.慢性血液透析中使用动静脉内瘘的一些经验。
Br Med J. 1968 Feb 17;1(5589):414-6. doi: 10.1136/bmj.1.5589.414.
6
Experiences with arteriovenous fistulas.
Trans Am Soc Artif Intern Organs. 1968;14:421-5.