论文部分内容阅读
为寻求一种对肾综合征出血热(HFRS)急性肾衰血液透析安全、有效、方便的血路方式,对34例肾综合征出血热(HFRS)急性肾衰血液透析采用不同血路方式,即动静脉外瘘、动静脉穿刺和股静脉双腔套管在血流量、透析效果及并发症的发生方面进行了对比。结果显示,动静脉外瘘血流量最大,创伤亦最大,要经过插管和拔管两次手术。股静脉双腔套管次之,创伤最小,操作简便,为抢救病人的生命赢得了时间,可保留,无需每次透析重复穿刺,病人痛苦小,血流量保证。动静脉穿刺血流量最低,对水肿和出血严重的病人操作困难,易形成局部血肿而影响血流,且不易保留。3组间透析前后血循环BUN、Cr下降经方差分析无统计学意义。提示股静脉双腔套管不失为一种安全、有效、方便的血路方式。
In order to find a safe, effective and convenient way of hemodialysis for acute renal failure with hemorrhagic fever with renal syndrome (HFRS), hemodialysis was performed in 34 hemodialysis patients with acute renal failure due to hemorrhagic fever with renal syndrome (HFRS) Venous fistulas, arteriovenous puncture and femoral vein double-lumen cannulae were compared in terms of blood flow, dialysis effect and complications. The results showed that arteriovenous fistula blood flow is the largest, most trauma, to go through two intubation and extubation surgery. Femoral vein double lumen casing followed by minimal trauma, easy to operate, to save the patient’s life to win the time, can be retained, without repeated puncture for each dialysis, patient pain, blood flow assurance. Arteriovenous puncture the lowest blood flow, edema and bleeding in patients with severe operation difficulties, easy to form local hematoma and affect blood flow, and not easy to retain. 3 groups before and after dialysis BUN, Cr decreased by analysis of variance was not statistically significant. Tip femoral vein double lumen sleeve after all, is a safe, effective and convenient blood way.