Adams M B
Department of Transplant Surgery, Medical College of Wisconsin, Milwaukee 53226, USA.
Semin Vasc Surg. 1997 Sep;10(3):151-6.
A rational approach to hemodialysis access in the patient with renal failure requires an understanding of many factors. The initial approach to such patients and subsequent decisions have a significant impact on quality of life as well as the morbidity of access choices. Autogenous vascular access remains the gold standard in the care of these patients. Alternatives are less desirable but are necessary in an increasing number of situations. Careful thought before embarking on a procedure will provide better long-term function and preserve the patient's options for the future.
对于肾衰竭患者，采用合理的血液透析通路方法需要了解许多因素。对这类患者的初始治疗方法及后续决策对生活质量以及通路选择的发病率都有重大影响。自体血管通路仍是这类患者治疗的金标准。其他替代方案不太理想，但在越来越多的情况下是必要的。在开始一项操作之前仔细考虑将能提供更好的长期功能，并为患者保留未来的选择。
