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目的 :探讨动静脉内瘘关闭修复术对心功能的影响 ,以扩大同种异体肾移植适应证。方法 :对 8例长期血液透析反复出现心力衰竭者在肾移植前 5个月行动静脉内瘘关闭修复术。结果 :心腔恢复正常 7例 ,心腔内径在正常上限 1例。肾移植成功 6例 ,肝功能衰竭死亡 1例 ,自发性肾破裂作肾切除 1例。结论 :肾移植前先行动静脉内瘘关闭修复术有利于改善患者心、肺功能 ,扩大手术适应证 ,减少并发症 ,为肾移植创造有利条件。
Objective: To investigate the effect of closed arteriovenous fistula repair on cardiac function in order to expand the indication of allograft renal transplantation. Methods: Eight patients with recurrent HF after long-term hemodialysis were treated with venous fistula closed and repaired 5 months before renal transplantation. Results: There were 7 cases with normal cardiac chamber and 1 case with normal upper limit of intracardiac diameter. 6 cases of renal transplantation, 1 case of liver failure, 1 case of spontaneous renal rupture for nephrectomy. Conclusion: The operation of arteriovenous fistula closure and repairing before kidney transplantation can improve the heart and lung function, expand the indication of operation and reduce the complications, and create favorable conditions for kidney transplantation.