中国血液净化

中国血液净化 ›› 2023, Vol. 22 ›› Issue (12): 881-890.doi: 10.3969/j.issn.1671-4091.2023.12.001

• 共识与指南 •    下一篇

新建自体动静脉内瘘围手术期管理专家共识

北京围手术期医学研究会肾脏病与血液净化分会专家共识工作组   

  1. 北京围手术期医学研究会肾脏病与血液净化分会
  • 收稿日期:2023-08-07 修回日期:2023-08-23 出版日期:2023-12-12 发布日期:2023-11-30
  • 通讯作者: 张东亮 E-mail:zdlycy@163.com

Perioperative Management of New-built Autogenous Arteriovenous Fistula: Chinese Expert Consensus

Expert Consensus Work Group of Nephrology and Blood Purification   

  1. Expert Consensus Work Group of Nephrology and Blood Purification
  • Received:2023-08-07 Revised:2023-08-23 Online:2023-12-12 Published:2023-11-30
  • Contact: 100035 北京，首都医科大学附属北京积水潭医院肾内科 E-mail:zdlycy@163.com

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摘要： 自体动静脉内瘘(autogenous arteriovenous fistula,AVF)是血液透析(hemodialysis,HD)患者的首选血管通路，新建立AVF要在手术前做好评估和规划、手术中操作细致入微、手术后密切监测和指导锻炼，整个过程需要医患沟通与配合，对患者的健康教育从规划HD治疗即开始实施，北京围手术期医学研究会肾脏病与血液净化分会专家共识工作组经结合国内外相关指南共识、循证医学证据及专家组成员多年的临床实践经验，制定本共识，为AVF围手术期管理提出推荐建议。

关键词: 血液透析, 自体动静脉内瘘, 围手术期, 共识

Abstract: Autogenous arteriovenous fistula (AVF) is the first choice for vascular access in hemodialysis patients. Detailed evaluation and planning for a new AVF before the surgery, meticulous manipulation during surgery, and close monitoring and exercise guidance after the surgery must be carried out. These processes need mutual interaction and collaboration between doctors and patients. Healthcare education should begin before the use of AVF for hemodialysis. The Expert Consensus Work Group of Nephrology and Blood Purification, Beijing Perioperative Medicine Study Society based on the guidelines, consensus and evidence-based medical data from China and foreign countries and combined with the clinical experiences of the members in this group proposes this consensus to provide suggestions and comments about the perioperative management of AVF.

Key words: Hemodialysis, Autogenous arteriovenous fistula, Perioperation, Consensus

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