患者,男性,73岁,因慢性肾功能衰竭(尿毒症期)于1年前在我科行右前臂头静脉-桡动脉端端吻合术,术后回当地行维持性血液透析(hemodialysis,HD)治疗(3次/周),半年后逐渐出现右上肢肿胀,HD时血流量低于200 ml/min,但内瘘血管杂音仍可闻及。改为其他部位血管直穿继续HD。近4个月患者 Patient, male, 73 years old, with chronic renal failure (uremia) was anastomosed at the end of the right forearm’s head vein-radial artery 1 year ago in our department and returned to the local postoperative hemodialysis (HD ) Treatment (3 times / week), six months after the gradual swelling of the right upper extremity, HD blood flow below 200 ml / min, but fistula vascular noise can still be heard. Change to other parts of the blood vessels straight through to continue HD. Nearly 4 months patients