中南大学湘雅医院血液透析患者血管通路现状

发布时间：2018-06-20 13:06

本文选题：血液透析 + 血管通路　；参考：《中南大学学报(医学版)》2017年11期

【摘要】：目的:了解血液透析患者的血管通路现状。方法:回顾性分析中南大学湘雅医院血液透析中心2015年4月1日至2016年4月1日新导入及维持性血液透析患者的基本资料、血管通路选择和并发症。结果:维持性血液透析患者258例,采用自体动静脉内瘘(artetiovenous fistula,AVF)的患者占87.60%、带涤纶套带隧道导管占12.40%。新导入患者61例,首次透析采用无隧道无涤纶套导管的患者占80.33%,AVF占8.19%,带涤纶套带隧道导管占9.84%,动静脉穿刺占1.64%。AVF选择吻合血管依次为腕桡动脉-头静脉(76.55%)、肱动脉-头静脉(11.06%)、前臂中段桡动脉-头静脉(7.08%)、肱动脉-肘正中静脉和肱动脉-贵要静脉(5.31%)。AVF发生并发症占总AVF透析人数的34.07%,其中动脉瘤占24.34%。结论:维持性血液透析患者绝大多数采用AVF,而新导入透析患者中使用无隧道无涤纶套导管者比例较大。
[Abstract]:Objective: to investigate the current situation of vascular pathway in hemodialysis patients. Methods: the basic data, vascular pathway selection and complications of newly introduced and maintained hemodialysis patients in Xiangya Hospital of Central South University from April 1, 2015 to April 1, 2016 were analyzed retrospectively. Results: among 258 patients with maintenance hemodialysis, 87.60 patients were treated with autogenous arteriovenous fistula (AVF), and 12.40 patients were treated with polyester sheath and tunnel catheter. 61 newly introduced patients, For the first time, 80.33% of the patients were treated without tunnel, 8.19% with AVF, 9.84 with tunnel catheter, 1.64% with AVF and 1.64 .AVF selected anastomoses were carpal radial artery and cephalic vein, brachial artery and head vein, forearm middle segment. The complications of brachial artery and middle elbow vein and brachial artery were 34.07% of the total number of AVF dialysis patients, and the aneurysms accounted for 24.34% of the total number of AVF dialysis patients. Conclusion: the majority of maintenance hemodialysis patients use AVF, while the proportion of new dialysis patients who use no tunnel and no polyester sheath catheter is larger.
【作者单位】：中南大学湘雅医院肾内科;
【基金】：国家自然科学基金(81402453) 湖南省自然科学基金(2015JJ4058) 湖南省发展和改革委员会课题(湘发改高技[2013]1199)~~
【分类号】：R459.5

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