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