高龄维持性透析患者疑难透析血管通路1例

Complicated hemodialysis vascular access in an elderly patient

摘要:

随着社会经济水平发展,高龄透析患者数量日益增多。血管通路是透析患者的生命线,但高龄患者血管通路的选择和建立都较困难,围术期及术后并发症多,远期通畅率较低,长期维护过程中存在诸多挑战。本文通过分析1例我院维持性血液透析患者的诊治过程,探讨高龄患者血管通路的特点以及有效的干预措施,为后续血管通路的建立和维护提供经验。

Abstract:

The number of the elderly patients receiving hemodialysis increase with the social and economic development, for whom vascular access is critical. However, it is difficult to establish a vascular access in the elderly patients who have more perioperative and postoperative complications and lower long-term patency rate compared with the young patients. Its long-term maintenance is also faced with many challenges. This article investigated the characteristics of vascular access and effective interventions in the elderly patients by analyzing the diagnosis and treatment of a patient who received maintenance hemodialysis in our center, providing reference for establishment and maintenance of the subsequent vascular access.