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我科自91年以来,在急性穿刺方法的基础上略加改进用于慢性透析20例治疗急肾衰,全部成功。具体方法是:采用急性穿刺法插植一根不带涤纶套的临时透析管。穿刺点一般选反麦氏点。穿刺用具为内径5mm的腹腔穿刺针,其内径刚好容透析管通过。慢性腹透在急性透析管透析20～30天之后将此管拔除,再将带有一个涤纶毡套的另一透析管内插金属导丝沿着原管道方向朝膀胱直肠窝徐徐放入,透析管到位后拔除导丝。在透析管皮肤出口处上方切开皮肤0.5cm,将涤纶套埋入皮下,再在距此口外上5～7cm处的皮肤上切一约0.4cm的小切口作为隧道出口,用
Our department since 1991, based on the acute puncture method slightly improved for chronic dialysis in 20 cases of acute renal failure, all successful. The specific method is: the use of acute puncture method without a temporary set of polyester dialysis dialysis tube. Piercing points generally selected anti-Max’s point. The puncture device is an abdominal puncture needle with an inner diameter of 5mm, and the inner diameter of the puncture needle just passes through the tube. Chronic peritoneal dialysis in acute dialysis tube 20 to 30 days after the removal of this tube, and then with a polyester felt sleeve inserted another dialysis wire guide wire along the direction of the original tube into the bladder rectum slowly into the dialysis tube Remove the guide wire after it is in place. Cut the skin 0.5cm above the exit of the dialysis tube skin, embed the polyester sleeve into the skin, cut a small incision of about 0.4cm on the skin 5 ~ 7cm away from this mouth as a tunnel exit,