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find Keyword "内瘘" 25 results
  • 彩色多普勒超声在透析患者动静脉内瘘并发症中的应用

    目的 探讨彩色多普勒超声在透析患者动静脉内瘘并发症中的应用价值。 方法 2009年1月-2012年4月应用彩色多普勒超声检测129例透析患者动静脉内瘘瘘口、桡动脉、头静脉的解剖及血流动力学状况。 结果 129例透析患者动静脉内瘘中103例动静脉内瘘通畅,12例血栓形成,7例狭窄,4例静脉瘤样扩张,2例血肿,1例局部感染。 结论 彩色多普勒超声是监测透析患者动静脉内瘘血管通路的无创、简便、快速、有效的检测方法,能明确诊断动静脉内瘘并发症,还能快速诊断其低血流量原因,从而为临床及时治疗提供科学依据。

    Release date:2021-06-23 07:35 Export PDF Favorites Scan
  • THE DIAGNOSIS AND TREATMENT OF BILIDIGESTIVE AND CHOLECYSTO CHOLEDOCHAL FISTULA DUE TO GALLSTONE DISEASE

    目的探讨胆囊结石病引起胆道内瘘的原因,提高其诊断和治疗水平。方法收集我院1990~1999年收治的胆道内瘘患者46例,并对其病因、诊断与治疗进行分析。结果胆囊十二指肠瘘18例(39.1%),胆囊结肠瘘8例(17.4%),胆囊与胃、空肠内瘘各1例(4.3%); 胆囊胆管瘘18例(39.1%)。术后出现并发症4例(8.7%),死亡1例(2.2%),治愈率为97.8%。结论重视本病的临床表现及术前、术中检查,选择恰当手术方式,可减少死亡与并发症的发生。

    Release date:2016-08-28 05:11 Export PDF Favorites Scan
  • CLINICAL RESEARCH ON ARTERIOVENOUS INTERNAL FISTULA MADE BY VARIOUS BLOOD VESSELS

    OBJECTIVE To compare the permeability and incidence rate of complication of arteriovenous internal fistula made by autogenous, homologous, and artificial Teflon blood vessels. METHODS Two hundred and forty one cases with arteriovenous internal fistula made by autogenous, homologous, and artificial Teflon blood vessels were followed up to compare the permeability and incidence rate of complication at 6 months, 1 year, 3 years, and 5 years. RESULTS The incidence rate of complication of autogenous blood vessels was lowest, it had no statistical differences compared with arteriovenous internal fistula made by homologous blood vessels. The permeability of arteriovenous internal fistula made by homologous blood vessels was highest, and it had no statistical differences compared with autogenous blood vessels. The permeability of arteriovenous internal fistula made by artificial Teflon blood vessels was lowest, but the incidence rate of complication was highest, and it had significantly statistical differences compared with arteriovenous internal fistula made by autogenous blood vessels (P lt; 0.01). CONCLUSION Arteriovenous internal fistulas made by autogenous and homologous blood vessels have high permeability and low incidence rate of complication, they are superior to the arteriovenous internal fistula made by artificial Teflon blood vessels.

    Release date:2016-09-01 10:25 Export PDF Favorites Scan
  • TELESCOPIC ADHESIVE ANASTOMOSIS OF SMALL BLOOD VESSEL APPLIED IN FORMATION OF ARTERIOVENOUS FISTULA FOR HEMODIALYSIS

    The formation of an arteriovenous fistual for dialysis by routine interrupted sutures anastomosing the vein and artery is difficult to perform and time-consuming. A new method, telescopic adhesive anastomosis was studied and applied in 10 hemodialysis patients, who were in need of an arteriovenous fistula. The external diameter of the vessels anastomosed was 2.40 +/- 0.20 mm (radial artery) or 2.40 +/- 0.35 mm (cephalic vein). After thorough debridement of the vascular ends, the arterial end was put in the venous lumen. In order to fix the telescopic vessels, two stitches were applied 180 degrees apart from each other and tied. Each stitch was inserted from vein (penetrating the whole wall) to artery (just through the adventitia and partial thickness of the media vasorum). The distance from the stitch to the edge of the vein was 0.5 mm, and that of the artery was approximated to the external diameter of the vessle. The medical adhesive was then applied for sealing the anastomotic adventitia. Ten seconds were given for the solidification of the adhesive. The patients were followed up for 8 months. The patency rate was 100%, and the rate of blood flow was more than 300 ml/min (measured by ultrasonography). It was shown that this method could be managed easily and quickly, and the so-formed fistula would fulfill the need of hemodialysis.

    Release date:2016-09-01 11:08 Export PDF Favorites Scan
  • Research on the Whole-course Standardized Care for Patients with Autologous Arteriovenous Fistula

    目的  研究自体动静脉内瘘全程规范化护理的可实施性及优势。 方法 制定自体动静脉内瘘全程规范化护理工作流程及标准,将2011年6月-8月经自体动静脉内瘘行维持性血液透析患者随机分为观察组(125例)和对照组(115例),分别予以全程规范化护理和普通护理,对比分析两组之间内瘘不良事件发生率、患者满意度、护士认同度等指标的差异。 结果 两组内瘘不良事件发生率分别为8.0%和21.0%,患者满意度分别为98.4%和84.3%,差异均有统计学意义(P<0.05);两组护士对本组护理模式认同度均为90.0%,差异无统计学意义(P>0.05)。 结论 自体动静脉内瘘全程规范化护理模式能有效降低内瘘不良事件发生率并显著提高患者满意度,值得临床推广。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 自体血管移植内瘘护理一例

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • 复方利多卡因乳膏减轻血透内瘘穿刺疼痛效果的观察

    【摘要】目的观察复方利多卡因乳膏在减轻血液透析内瘘血管穿刺疼痛中的效果。方法将52例首次使用内瘘穿刺的血透患者,随机分为对照组和复方利多卡因乳膏组。对照组以常规方法进行穿刺;复方利多卡因乳膏组在穿刺前以穿刺点为中心涂擦复方利多卡因乳膏,60 min后进行穿刺。结果复方利多卡因乳膏组内瘘穿刺疼痛程度与对照组比较,差异有统计学意义(Plt;005)。结论复方利多卡因乳膏涂擦可减轻内瘘穿刺时的疼痛。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • 血液透析患者动静脉内瘘并发症的护理对策

    目的:总结分析维持性血液透析患者动静脉内瘘使用过程中的主要并发症,探讨积极有效的护理对策,延长内瘘的使用寿命。方法:回顾156例维持性血液透析患者资料,分析其动静脉内瘘使用过程中的主要并发症及其相应的护理对策。结果:瘘并发症按发生率高低依次为出血、血流量不足、假性动脉瘤和血栓形成,无一例感染。结论:出血及血流量不足是动静脉内瘘的主要并发症,及时有效的护理措施可预防减少并发症的发生,延长内瘘的使用寿命。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 侧侧吻合法行动静脉内瘘术120例临床分析

    目的:探讨侧侧吻合法行动静脉内瘘术的手术方法,评价其临床效果。方法:回顾性分析120例侧侧吻合病例,并与同期42例端侧吻合病例进行对比探讨。结果:120例侧侧吻合119例一次性吻合成功,平均血管吻合时间19min,随访1~40月,1~3年通畅率98.3%,出现并发症3例;42例端侧吻合40例一次吻合成功,平均血管吻合时间43min,1年通畅率90%,3年通畅率79.6%,内瘘闭塞7例。结论:侧侧吻合法是一种理想的内瘘吻合技术,手术方法简单,效果好,并发症少,但对血管条件要求较高,特别适合初学者及基层医院应用。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • Endovascular Repair for Treatment of Inferior Renal Artery Abdominal Aortic Aneurysms in 10 Cases〖STBZ〗

     目的 总结肾动脉下腹主动脉瘤腔内修复术的初步经验。 方法 对我院2006年8月至2009年3月期间收治的10例肾动脉下腹主动脉瘤患者在全麻下采用单侧或双侧股动脉入路置入带膜支架行腔内修复术。 结果 10例肾动脉下腹主动脉瘤采用腔内修复治疗,带膜支架置入顺利,立即DSA 7例动脉瘤体消失,Ⅰ型内瘘2例,经支架附着点球囊扩张后内瘘即刻消失。随访3~30个月(平均10个月),2例术后切口淋巴瘘,经换药痊愈。全部患者肢体血运正常。1例发生Ⅱ型内瘘,未经治疗,随访2个月后消失。 结论 腔内修复术对肾动脉下腹主动脉瘤是一种创伤小、恢复快及效果好的治疗方法。

    Release date:2016-09-08 10:52 Export PDF Favorites Scan
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