| 肘部高位动静脉内瘘成形术在血液透析中的应用 |
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| 引用本文： | 刘洋,何春水,张丽峰,等.肘部高位动静脉内瘘成形术在血液透析中的应用[J].华西医学,2014(4):682-684. |
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| 作者姓名： | 刘洋 何春水 张丽峰 等 |
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| 作者单位： | 成都中医药大学附属医院血管外科,成都610072 |
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| 摘 要： | 目的评价肘部高位动静脉内瘘成形术的临床效果。方法2010年1月-2012年6月对89例血液透析患者进行肘部高位动静脉内瘘成形术，观察手术并发症，评价手术方法的适应证及有效性。结果3例术后发生急性左心衰，5例术后发生吻合口血栓，2例出现肿胀手综合征。87例患者内瘘成熟，血液透析效果良好。结论采用肘部高位动静脉内瘘成形术能有效进行血液透析，可作为血管条件欠佳的透析患者一种选择。
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| 关 键 词： | 动静脉瘘 血液透析 肘部高位 |
Application of Arteriovenous Internal Fistula Plasty in Elbow in Hemodialysis |
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| LIU Yang,HE Chun-shui,ZHANG Li- feng,ZENG Wei,LIU Yuan.Application of Arteriovenous Internal Fistula Plasty in Elbow in Hemodialysis[J].West China Medical Journal,2014(4):682-684. |
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| Authors: | LIU Yang HE Chun-shui ZHANG Li- feng ZENG Wei LIU Yuan |
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| Affiliation: | .(Department of Vascular Surgery, Teaching Hospital of Chengdu University of T.C.M, Chengdu, Sichuan 610072, P R. China) |
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| Abstract: | Objective To summarize and analyze the application of arteriovenous fistula plasty in elbow in hemodialysis. Methods A retrospective analysis was made on the clinical data of 89 patients with chronic renal failure undergoing arteriovenous fistula plasty in elbow for hemodialysis between January 2010 and June 2012. The complications and operative success rate were analyzed. Results Eighty-seven patients had successful fistula for hemodialysis; Three had acute left heart failure; Five had anastomotic thrombosis; and 2 had swollen hand syndrome. Conclusion The choice of arteriovenous fistula plasty in elbow can be effective for hemodialysis, and can be used as a successful choice for the patients with poor conditions. |
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| Keywords: | Hemodialysis Arteriovenous fistula Elbow |
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