[在有功能障碍的带有纤维素外的道式带导管的血液透析患者中进行导管置换方法]
Lizhu Jin1,2, Hui Wang1, Tianlei Cui1
1（ 610041） Department of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China.
概括
通过纤维素裂隙用气球扩张替换道化带导管 (TCC) 为血液透析提供了优越的长期血液流动. 这种方法是安全和有效的,在保持最佳导管功能方面优于现场更换.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 医疗器械 医疗器械
背景情况:
- 道式带导管 (TCC) 对于血液透析的接入至关重要,特别是在外周血管有限的患者中.
- 纤维素形成是一种常见的并发症,可以损害TCC功能.
研究的目的:
- 为了比较两种TCC替代方法的疗效:在现场替代与通过纤维素裂隙进行替代.
- 为了确定长期血液透析的最佳导管更换过程.
主要方法:
- 一项回顾性研究,涉及52名接受TCC替代治疗的患者.
- 患者被分为两组:隙 (n=27) 和现场 (n=25).
- 结果包括血液透析血流,Kt/V,透析器报警和1,3,6个月的感染.
主要成果:
- 没有观察到基线数据或即时并发症 (出血,吸管,感染) 的显著差异.
- 在6个月后,裂组表现出显著更高的导管血流 (241.85±9.62毫升/分钟对比234.40±11.21毫升/分钟) 和Kt/V值 (1.31±0.55对比1.27±0.49).
- 与现场组相比,在隙组中发生的入口报警较少.
结论:
- 通过纤维素外裂隙插入气球扩张辅助的TCC是一种安全有效的程序.
- 这种方法与现场置换相比,产生了优越的长期导管血流.
- 护套裂技术代表了在血液透析患者中TCC替代的改进方法.
相关概念视频
01:27Dialysis
320
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
320
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
165
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
165