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血液透析患者内瘘闭塞的危险因素分析及防治
引用本文:李康慧,尹友生,覃源,李小励,韦家智,陈媛媛.血液透析患者内瘘闭塞的危险因素分析及防治[J].广西医学,2010,32(6):651-653.
作者姓名:李康慧  尹友生  覃源  李小励  韦家智  陈媛媛
作者单位:桂林医学院附属医院泌尿内科,桂林市,541001
摘    要:目的探讨尿毒症患者发生内瘘闭塞的危险因素及防治措施。方法发生动静脉内瘘闭塞但尚需维持性血液透析的患者18例,回顾性分析其临床资料,寻找影响内瘘使用的危险因素。结果血液透析中低血压、高超滤率是影响尿毒症患者动静脉内瘘的危险因素。结论控制超滤量,避免透析中低血压是防止动静脉内瘘闭塞的重要措施。

关 键 词:尿毒症  动静脉内瘘  危险因素  低血压

Risk Factors of Arterioveneous Fistula Obliteration in Uraemia Patients and its Prevention and Treatment
LI Kang-hui,YIN You-sheng,QIN Yuan,LI Xiao-li,WEI Jia-zhi,CHEN Yuan-yuan.Risk Factors of Arterioveneous Fistula Obliteration in Uraemia Patients and its Prevention and Treatment[J].Guangxi Medical Journal,2010,32(6):651-653.
Authors:LI Kang-hui  YIN You-sheng  QIN Yuan  LI Xiao-li  WEI Jia-zhi  CHEN Yuan-yuan
Institution:(Department of Urology Medicine,Affiliated Hospital of Guilin Medical College,Guilin 541001,China)
Abstract:Objective To investigate the risk factors of arterioveneous fistula obliteration in uraemia patients and its treatment.Methods The protopathy and complications in 18 uraemia patients whose arterioveneous fistula obturated were analyzed,in order to find the risk factors of utilization in arterioveneous fistula.Results The hypotension,high ultrafiltration rate were the risk factors which affected the arterioveneous fistula.Conclusion In order to prevent and cure arterioveneous fistula obliteration,we should control the ultrafiltration and avoid dialysis hypotension.
Keywords:Urinemia  Arterioveneous fistula  Risk factors  Hypotension
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