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在血液透析中,我们常常为血管通路所困扰。如何为急诊需要而快速建立通路,如何为长期透析而保护和节约使用血管,是血透中经常遇到的问题。我们根据国外有关报告,采用显微外科技术一次建立动-静脉内外混合瘘3例,效果满意,介绍如下: 一、造瘘方法在一侧手腕部的桡动脉搏动明显处与其相邻近的静脉之间作一3 cm长纵切口,游离该二条血管,使之无张力靠近。在手术显微镜下用9-0无损伤
In hemodialysis, we are often troubled with the vascular access. How to quickly establish access for emergency needs and how to protect and economize on the use of blood vessels for long-term dialysis is a frequently encountered problem in hemodialysis. We based on foreign reports, the use of microsurgery technology to establish a dynamic-intravenous and external mixed fistula in 3 cases, the results are satisfactory, described as follows: First, the fistula method on one side of the wrist radial artery pulsation significantly adjacent to its adjacent veins Between a 3 cm longitudinal incision, the two free blood vessels, so that no tension close. Under the operating microscope with 9-0 without damage