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血液透析必须建立有足够血流量的体外血液循环通路,才能保证透析的顺利进行,按常规是建立动、静脉瘘,但内瘘需等待术后二周成熟后才能使用,而外瘘的并发症较多。所以,紧急血透建立临时性血管通路,足背动脉直接穿刺法简单,易掌握,便于观察、固定、止血,并发症少,我室自1991年以来,对紧急透析需临时穿刺的病人,均采用此法,获得了满意的效果,现将体会介绍如下:
Hemodialysis must be established with adequate blood flow of extracorporeal blood circulation pathway, in order to ensure the smooth progress of dialysis, according to the conventional establishment of arteriovenous fistula, but fistula need to wait for two weeks after the operation can mature, and the complications of fistula More. Therefore, emergency hemodialysis to establish a temporary vascular access, direct dorsal artery puncture method is simple, easy to grasp, easy to observe, fix, stop bleeding, fewer complications, our room since 1991, emergency dialysis puncture patients are required Using this method, obtained the satisfactory result, will realize the introduction as follows now: