高龄维持性透析患者疑难透析血管通路1例  

Complicated hemodialysis vascular access in an elderly patient

作　　者：高飞 朱蓓 柏云 张涛[1] 杨宏宇[2] 赵卫红 GAO Fei;ZHU Bei;BAI Yun;ZHANG Tao;YANG Hong-Yu;ZHAO Wei-Hong(Department of Geriatric Nephrology;the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Vascular Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院老年肾科,南京210029 [2]南京医科大学第一附属医院血管外科,南京210029

出　　处：《中华老年多器官疾病杂志》2018年第12期931-934,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：江苏省医学重点人才(ZDRCA2016021);江苏省333工程人才(BRA2017409)~~

摘　　要：随着社会经济水平发展,高龄透析患者数量日益增多。血管通路是透析患者的生命线,但高龄患者血管通路的选择和建立都较困难,围术期及术后并发症多,远期通畅率较低,长期维护过程中存在诸多挑战。本文通过分析1例我院维持性血液透析患者的诊治过程,探讨高龄患者血管通路的特点以及有效的干预措施,为后续血管通路的建立和维护提供经验。The number of the elderly patients receiving hemodialysis increase with the social and economic development,for whom vascular access is critical.However,it is difficult to establish a vascular access in the elderly patients who have more perioperative and postoperative complications and lower long-term patency rate compared with the young patients.Its long-term maintenance is also faced with many challenges.This article investigated the characteristics of vascular access and effective interventions in the elderly patients by analyzing the diagnosis and treatment of a patient who received maintenance hemodialysis in our center,providing reference for establishment and maintenance of the subsequent vascular access.

关 键 词：老年人 透析 中心静脉 经皮腔内血管成形术 

分 类 号：R592[医药卫生—老年医学] R318.16[医药卫生—内科学]