维持性血液透析患者经皮血管成形术的麻醉选择  

Anesthesia for percutaneous angioplasty in maintenance hemodialysis patients

作　　者：徐元恺[1] 张丽红[2] XU Yuan-kai;ZHANG Li-hong(Department of Nephrology,Zhejiang hospital,Hangzhou 310013,China;Department of Nephrology,the first hospital of Hebei Medical University,Shijiazhuang 050030)

机构地区：[1]浙江医院肾内科,杭州310013 [2]河北医科大学第一医院肾内科,石家庄050030

出　　处：《中国血液净化》2022年第2期123-125,共3页Chinese Journal of Blood Purification

摘　　要：动静脉内瘘是优选的维持性血液透析血管通路,经皮血管成形术是治疗动静脉内瘘并发症的重要手段,目前已成为指南推荐的一线治疗手段。经皮血管成形术手术过程中常伴有较为剧烈的疼痛,影响患者的就医体验,恰当的麻醉镇静可以减轻疼痛。但由于尿毒症患者的特殊性,透析患者经皮血管成形术的麻醉选择一直没有统一的结论。本文拟综述既往经皮血管成形术的各类麻醉方式,以期得出倾向性结论。Arteriovenous fistula is the recommended vascular access for maintenance hemodialysis patients.Percutaneous angioplasty(PTA)is an important means to treat the complications of arteriovenous fistula and has become the first-line treatment recommended by the guidelines at present.Percutaneous angioplasty session is often accompanied by severe pain,which affects the medical experience of patients.Appropriate anesthesia and sedation can reduce the pain.However,due to the particularity of uremic patients,there has been no unified conclusion on the anesthesia choice of percutaneous angioplasty.This paper reviews various anesthesia methods in previous percutaneous angioplasty in order to draw a tendentious conclusion.

关 键 词：血液透析 动静脉内瘘 经皮血管成形术 麻醉 

分 类 号：R459.5[医药卫生—治疗学]