Wood M L, Reilly G D, Smith G T
Br Med J (Clin Res Ed). 1983 Oct 22;287(6400):1167-8. doi: 10.1136/bmj.287.6400.1167.
A patient in whom a radial arteriovenous fistula was constructed in preparation for haemodialysis subsequently developed ulceration on the dorsum of the hand. The lesion failed to heal despite antibiotic treatment, and so the fistula was closed. The lesion healed within three weeks. Subsequent construction of a fistula at the right wrist was followed 12 months later by the development of similar ulceration of the right hand. This complication of arteriovenous fistulas is similar to varicose ulceration of the leg and provides a unique opportunity to study the effects of sustained venous hypertension on the skin.
一名为准备血液透析而构建了桡动脉动静脉内瘘的患者，随后手部背部出现溃疡。尽管进行了抗生素治疗，病变仍未愈合，因此关闭了内瘘。病变在三周内愈合。随后在右腕部构建了内瘘，12个月后右手出现了类似的溃疡。动静脉内瘘的这种并发症类似于腿部的静脉曲张溃疡，为研究持续性静脉高压对皮肤的影响提供了独特的机会。
