中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (10): 710-712.doi: 10.3969/j.issn.1671-4091.2018.10.014

• 血管通路 • 上一篇    下一篇

长期血液透析通路的非血栓性并发症

惠淼1,李月红1   

  1. 1. 清华大学北京清华长庚医院肾内科
  • 收稿日期:2018-03-12 修回日期:2018-07-03 出版日期:2018-10-12 发布日期:2018-10-12
  • 通讯作者: 李月红 liyuehong0616@163.com E-mail:liyuehong0616@163.com
  • 基金资助:

    北京清华长庚医院研究基金(项目编号：12015C1019)

Non-thrombotic complications of long-term vascular access in maintenance hemodialysis patients

  • Received:2018-03-12 Revised:2018-07-03 Online:2018-10-12 Published:2018-10-12

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摘要： 【摘要】血液透析是终末期肾脏病(end stage renal disease, ESDR)患者常用的肾脏替代治疗方法，良好的透析通路是保证透析顺利进行的前提，长期透析通路失功及并发症是临床面临的重要问题。除了血栓并发症外，还有狭窄、动脉瘤/假性动脉瘤、窃血综合征、中心静脉闭塞、高输出量心力衰竭、神经病变和感染等非血栓并发症，本文对相关内容进行阐述。

关键词: 血液透析, 血管通路, 血栓, 并发症

Abstract: 【Abstract】Hemodialysis is a common modality for renal replacement therapy in patients with end stage renal disease (ESDR). The favorable long-term vascular access ensures the success of hemodialysis. Longterm hemodialysis arteriovenous vascular access may induce a number of complications. In addition to the complication of thrombosis, other problems such as stenosis, aneurysm/pseudoaneurysm, steal syndrome, central venous obstruction, heart failure, neuropathy and infection may occur. These non- thrombotic complications are reviewed.

Key words: hemodialysis, vascular access, thrombotic, complication