Reassessment of fistula puncture site blood loss.

N D Vaziri, D S Miyada, J K Saiki, M A Robinson
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Abstract

Fistula puncture site blood loss during and after hemodialysis was measured in 12 patients with end-stage renal disease. It was found to be 0.74 +/- 0.32 ml per dialysis and 115.4 +/- 49.9 ml per year in patients with Cimino A-V fistulas. Puncture site blood leak in patients with heterologous grafts was 1.77 +/- 0.36 ml per dialysis and 276.1 +/- 56.1 ml per year. The values obtained in this study are 5 to 10 folds less than those found in the original reports. Recent advances in dialytic technology are probably responsible for the observed improvement. The results also suggest that Cimino A-V fistulas are superior to the heterologous graft.

瘘管穿刺部位血量的再评估。
对12例终末期肾病患者在血液透析期间和透析后的瘘穿刺处出血量进行了测量。在Cimino A-V型瘘管患者中,每次透析0.74 +/- 0.32 ml,每年115.4 +/- 49.9 ml。异体移植患者穿刺部位漏血次数为1.77 +/- 0.36 ml /次,276.1 +/- 56.1 ml /年。本研究得到的数值比原始报告少5 ~ 10倍。最近透析技术的进步可能是观察到的改善的原因。结果还表明,Cimino A-V瘘优于异种移植物。
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