儿童血液透析自体动静脉造瘘术

IF 1.6 4区医学 Q3 PRIMARY HEALTH CARE

Primary Health Care Research and Development Pub Date : 2021-01-01 DOI:10.15761/HPC.1000203

Dragan Piljic, N. Sehic, Dilista Piljić, Fahrudin Sabanovic, M. Petricevic, G. Samoukovic

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引用次数: 0

摘要

一名11岁女性因生长问题和慢性肾衰竭在儿科病房长期血液透析时因动静脉瘘(AVF)形成而入院。在她住院期间，继续使用套管式中心静脉导管(CVC)作为血管通路的首选。肘动脉头静脉AVF采用标准端侧吻合，连续运行8-0 prolene单丝缝合。术后第二天患者出院，AVF基本通畅。我们建议血管和儿童血液透析中心建立一个策略，支持腹膜透析禁忌和不能进行先发制人肾移植的儿童的AVF生成。*通讯:Dragan Piljic, M.D, Ph.D.，波黑图兹拉大学临床中心心血管外科，电话:+38735303202;电子邮件:dragan.piljic@dr.com

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Autologous Arteriovenous Fistula Creation for Haemodialysis in Small Children

A 11-years old female with growth problem and chronic renal failure was admitted for arteriovenous fistula (AVF) formation for long-term haemodialysis in the pediatric ward. During her hospital stay, continue to have a cuffed central venous catheter (CVC) as the first choice for vascular access. AVF the cubital artery vena cephalica was performed with a standard end-to-side anastomosis with a continuous running 8-0 prolene monofilament suture. The patient was discharged on the second post operative day, subsequent to a normal AVF primary patency. We recommend that vascular and pediatric Hemodialysis centers establish a strategy supporting AVF creation in small children when peritoneal dialysis is contraindicated and pre-emptive kidney transplantation is not feasible. *Correspondence to: Dragan Piljic, M.D., Ph.D., Department of Cardiovascular Surgery, University Clinical Center Tuzla, Bosnia & Herzegovina, Tel: +38735303202; E-mail: dragan.piljic@dr.com

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来源期刊

Primary Health Care Research and Development PRIMARY HEALTH CARE-

CiteScore

2.60

自引率

6.20%

发文量

119

审稿时长

33 weeks

期刊介绍： Primary Health Care Research & Development is aimed specifically at both researchers and practitioners in primary health care, bridging the gap between the two areas. It provides a forum for the publication of international, interdisciplinary research and development in primary health care. It is essential reading for all involved in primary care: nurse practitioners, GPs and health service managers; professional and local groups in community health; researchers and academics; purchasers of primary health care services; allied health practitioners in secondary services and health-related consumer groups.