利用中心静脉病变侧废用静脉建立对侧动静脉瘘1例  

Establishment of contralateral arteriovenous fistula by using the waste vein on the side of central venous lesion:a case report

作　　者：鲍雪东 施娅雪[1] 于敏 刘思洁[1] 米兰化 吴厂 胡文平 Bao Xuedong;Shi Yaxue;Yu Min;Liu Sijie;Mi Lanhua;Wu Chang;Hu Wenping(Department of Vascular Surgery,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院血管外科,上海200032

出　　处：《中华肾脏病杂志》2023年第1期36-38,共3页Chinese Journal of Nephrology

摘　　要：中心静脉病变是血液透析血管通路并发症中的难题,可引起严重的临床症状并影响患者血液透析质量及生活质量。我们利用患者中心静脉病变侧废用静脉建立对侧移植血管动静脉瘘,2周后移植血管动静脉瘘成功穿刺行血液透析治疗,不仅解决了患者静脉高压及后续血管通路难题,而且保留了更多的血管资源。Central venous lesion is a difficult problem in the vascular access complications of hemodialysis,which can cause serious clinical symptoms and affect the quality of hemodialysis and life of patients.We established arteriovenous fistula of the contralateral graft blood vessel with the used vein on the diseased side of the central vein of the patient.The arteriovenous fistula of the graft blood vessel was successfully punctured and hemodialysis was performed 2 weeks later.In this way,we not only solved the problem of venous hypertension and subsequent vascular access in the patient,but also reserved more vascular resources.

关 键 词：肾透析 中心静脉导管 动静脉瘘 移植血管 

分 类 号：R692.5[医药卫生—泌尿科学]