中国血液净化 ›› 2022, Vol. 21 ›› Issue (08): 545-459,568.doi: 10.3969/j.issn.1671-4091.2022.08.001

• 一切为了人民健康—我们这十年 · 专题 •    下一篇

动静脉内瘘血栓治疗临床实践建议

王玉柱,  张丽红,  詹申   

  1. 100080 北京,1北京市海淀医院(北京大学第三医院海淀院区)肾内科 
  • 收稿日期:2022-03-14 修回日期:2022-05-19 出版日期:2022-08-12 发布日期:2022-08-12
  • 通讯作者: 王玉柱 E-mail:zhanglihongzhu@163.com
  • 基金资助:
    北京市海淀区卫生健康发展科研培育项目

Clinical Practice Recommendation for Arteriovenous Access Thrombosis Treatment

WANG Yu-zhu, ZHANG Li-hong, ZHAN Shen   

  1. Department of Nephrology, Haidian Hospital(Beijing Haidian Section of Peking University Third Hospital), Beijing 100080, China, 
  • Received:2022-03-14 Revised:2022-05-19 Online:2022-08-12 Published:2022-08-12
  • Contact: WANG Yu-zhu E-mail:zhanglihongzhu@163.com
  • Supported by:
    北京市海淀区卫生健康发展科研培育项目(HP2022-03-101001)

摘要: 血管通路是维持性血液透析患者的生命线,动静脉内瘘是优选的血管通路,但容易并发血栓形成,导致内瘘功能丧失,并且血栓形成与维持性血液透析患者住院率及全因死亡率相关。我国血管通路建立及并发症处理技术近年取得长足进步,但对于动静脉内瘘血栓处理的手术前评估、适应证把握、方法选择、技术要点掌握、并发症预防等方面缺乏系统、规范的认知。鉴于此,北京市海淀医院肾脏内科参考国内外相关文献并结合本中心大量实践经验起草了本建议,旨在为广大血管通路工作者规范开展血栓治疗提供借鉴。

关键词: 血管通路, 动静脉内瘘, 血栓, 治疗

Abstract: Vascular access is the lifeline of maintenance hemodialysis patients. Arteriovenous fistula is the preferred vascular access, but it is prone to thrombosis which resulting in loss of fistula. Also, thrombosis is associated with hospitalization and all-cause mortality in maintenance hemodialysis patients. The establishment of vascular access and the treatment of complications in our country have made great progress in recent years, but there is a lack of systematic and standardized understanding of preoperative assessment, indications, method selection, technical points, and complication prevention for arteriovenous fistula thrombosis treatment. In view of this, the Department of Nephrology of Beijing Haidian Hospital drafted this recommendation with reference to relevant domestic and foreign literatures and a large amount of practical experience in our center, aiming to provide reference for nephrologists to standardize thrombosis treatment.

Key words: Vascular access, Arteriovenous fistula, Thrombosis, Treatment

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