中国实用内科杂志

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老年血液透析血管通路的建立

郭王刘文虎   

  1. 作者单位:首都医科大学附属北京友谊医院肾内科,北京 100050
  • 出版日期:2014-12-01 发布日期:2014-12-19
  • 通讯作者: 刘文虎
  • 作者简介:刘文虎,主任医师、教授、博士生导师。首都医科大学肾病学系主任、首都医科大学附属北京友谊医院肾内科主任。兼任中华医学会肾脏病学分会常务委员;《中国血液净化学》《中国全科医学》《国际移植与血液净化》等杂志常务编委,《中华肾脏病杂志》编委等职。承担北京市科委课题2项。主编及副主编专著多部,发表论文50余篇,SCI收录十余篇。

Establishment of blood access in elderly hemodialysis patients

GUO WangLIU Wen-hu.   

  1. Department of Nephrology,Beijing Friendship Hospital,Renal Faculty of Nephrology of Capital Medical University,Beijing 100050,China
  • Online:2014-12-01 Published:2014-12-19

摘要:

随着社会老龄化的进程、医疗保险制度的发展和透析技术的进步,老年血液透析患者越来越多。因为老年患者外周血管条件差、合并多种基础疾病、心脏功能减退等因素,导致其透析用血管通路的建立一直是困扰临床的一大难题。该文作者认为在为老年患者建立血管通路的过程中,应该本着以自体动静脉内瘘为首选的原则,同时根据具体患者的预期寿命、血管条件以及患者的意愿作为重要参考因素,最终为老年患者建立既能够满足透析需要,又能最终提高患者生存质量的透析用血管通路。

关键词: 老年患者, 血液透析, 血管通路, 动静脉内瘘, 中心静脉导管

Abstract:

Abstract:There will be more and more elderly patients surviving on hemodialysis due to improvement of renal replacement and medical insurance.But these patients might experience lots of dilemmas such as poor blood vessels,more complications,and impaired cardiac function.All of these factors impose restriction on blood access preparation.Based on our previous reports,in most elderly subjects autogenous arteriovenous fistula might be the first choice in consideration of expectation of life,blood vessels available,life styles and ideas of the patients,which would accordingly assure effective renal replacement and high quality of life.

Key words: elderly, hematodialysis, vascular access, nternal arteriovenous fistula, central venous catheter

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