肾透析的动静脉内瘘成形术并发症诊断与手术编码案例分析  

A Case Study on the Diagnosis and Surgical Coding of Complications of Arteriovenous Fistuloplasty for Renal Dialysis

作　　者：孙鹏[1] 武文彬 Sun Peng;Wa Wenbin(Department of Medical Records,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China;不详)

机构地区：[1]首都医科大学附属北京同仁医院病案科,北京市100730

出　　处：《中国病案》2021年第5期32-34,共3页Chinese Medical Record

摘　　要：动静脉内瘘成形术是维持性血液透析患者最重要、应用最广泛的慢性血管通路,被称为维持性血液透析患者的生命线,但也容易产生各种并发症,包括血栓、感染、血管狭窄、假性动脉瘤、心力衰竭、肿胀手综合征以及窃血综合征。治疗这些并发症的手术包括:动静脉分流血栓切除术39.49、上肢静脉球囊扩张成形术39.50、为肾透析的造瘘术39.27、为肾透析的动静脉分流术的修复术39.42、为肾透析的动静脉分流去除术39.43等。这些并发症及手术在编码过程中难度较大,编码员如果不了解临床诊断与手术过程就容易编码错误,编码时应将临床诊断、手术过程与编码知识相结合,从而提高编码质量。Arteriovenous fistula plasty is in maintenance hemodialysis patients with chronic vascular access the most important and the most widely used,known as the lifeline of maintenance hemodialysis patients,but also easy to produce all kinds of complications,including blood clots,infections,vascular stenosis,false aneurysm,heart failure,swelling hands syndrome and secretly blood syndrome.Surgeries for the treatment of these complications included arteriovenous shunt thrombectomy(39.49),upper limb vein balloon dilatation(39.50),ostomy(39.27)for kidney dialysis,arteriovenous shunt repair(39.42)for kidney dialysis,arteriovenous shunt removal(39.43).These complications and surgeries are difficult to code.If coders do not understand clinical diagnosis and surgical procedures,they will easily make coding errors.When coding,clinical diagnosis,surgical procedures and coding knowledge should be combined to improve coding quality.

关 键 词：动静脉内瘘 并发症 编码 

分 类 号：R654.4[医药卫生—外科学]