Morgan A P, Knight D C, Tilney N L, Lazarus J M
Ann Surg. 1980 Apr;191(4):460-4. doi: 10.1097/00000658-198004000-00012.
Prosthetic devices for dialysis access sometimes have to be implanted in the groin. Infections are frequent there, and when they occur their management is influenced by the patients' need for continued dialysis, and often, by the presence of concomitant diseases. We report implantation of 161 dialysis access devices of various types, all utilizing the femoral vessels. Twenty-seven femoral triangle injections eventually occurred. Both the approach to their treatment and outcome were influenced by mode of presentation, localized infection being most favorable, and fever without localized signs least. The compromise surgical procedures made necessary by the patients' precarious medical status were successful in most instances but overall mortality was 18%, and the amputation rate 22%.
用于透析通路的假体装置有时必须植入腹股沟。那里感染很常见，感染发生时，其处理会受到患者持续透析需求的影响，而且往往还会受到伴发疾病的影响。我们报告了161例各种类型的透析通路装置植入情况，均利用股血管。最终发生了27例股三角感染。其治疗方法和结果均受感染表现方式的影响，局部感染最为有利，无局部体征的发热最不利。患者不稳定的医疗状况所必需的折衷手术程序在大多数情况下是成功的，但总体死亡率为18%，截肢率为22%。
