Hida M, Iida T, Shimbo T, Nakamura K, Saitoh H, Satoh T
Tokai J Exp Clin Med. 1982 Jul;7(4):497-504.
There were 316 patients being treated by maintenance hemodialysis in the Department of Transplantation, Tokai University School of Medicine and its satellite hospital (Bohsei Clinic, Medical Treatment Cooperation, Showakai) as of December 31, 1981. Forty eight male (23.1%) and 39 female (35.7%) patients were operated on for external shunts. One case of external shunt was functioning well 48 months later. No patient was dialysed through external shunts on December 31, 1981 in our Department or the satellite. The majority of patients, who were maintained on hemodialysis with an arteriovenous (native vein) fistula available, experienced no difficulties. Nearly 50 percent of cases with the first fistula were functioning on December 31, 1981. There were some complications with fistulas such as pseudoaneurysms, infections, the sore thumb syndrome or the steal syndrome. We experienced 14 hemodialysis cases using expanded polytetrafluoroethylene (E-PTFE) grafts and one case using femoral artery repositioning as blood access.
截至1981年12月31日，东海大学医学院及其附属医院（保生诊所、医疗合作、昭和会）移植科有316例患者接受维持性血液透析治疗。48例男性患者（占23.1%）和39例女性患者（占35.7%）接受了外瘘手术。1例患者的外瘘在48个月后仍功能良好。1981年12月31日，在我们科室或附属医院，没有患者通过外瘘进行透析。大多数通过动静脉（自体静脉）内瘘维持血液透析的患者没有遇到困难。1981年12月31日，近50%的初次内瘘病例仍在发挥功能。内瘘存在一些并发症，如假性动脉瘤、感染、拇指疼痛综合征或窃血综合征。我们有14例血液透析患者使用了膨体聚四氟乙烯（E-PTFE）移植物，1例患者使用股动脉重新定位作为血管通路。
