【摘要】 目的探讨局部弹拨、揉搓血管在干预自体动静脉内瘘急性血栓形成时的疗效。方法对2007～2009年在我院血液透析,并且发生内瘘血管闭塞事件的23例病人进行弹拨、揉搓血管治疗。首先是弹拨、揉搓动静脉内瘘的吻合口和血管,其次是维持血压,最后是用低分子肝素皮下注射和尿激酶静脉推注进行抗凝治疗。结果经局部反复弹拨、揉搓自体动静脉内瘘血栓形成的吻合口、血管后,23例动静脉内瘘闭塞患者中,除1例3个月后再发内瘘闭塞外,其余22例患者均内瘘再通。结论采取弹拨、揉搓血管在自体动静脉内瘘急性血栓形成时使内瘘血管再通的方法简单易行,效果显著,相对安全,所以我们强调采取早期干预措施预防内瘘事件的发生。更多还原

【Abstract】 Objective To probe the curative effects by local scraping and bouncing and rubbing of blood vessels in acute thrombus formation of autogenous arteriovenous fistula.Methods Conducting the treatment of scraping and bouncing and rubbing of blood vessels on 23 patients who have done hemodialysis and suffered vascular occlusion of fistula from 2007 to 2009.First,scrape and bounce and rub the anastomosis and blood vessels of autogenous arteriovenous fistula.Second,maintain the blood pressure.At last,conduct the hypodermic injection of low molecular heparin and the anticoagulant therapy of bolus intravenous injection of urokinase.Results After scraping and bouncing and rubbing the anastomosis and blood vessels of autogenous arteriovenous fistula,there is only one case which has a relapse after 3 months,and the rest 22 cases do not suffer the vascular occlusion no longer.Conclusion The method of local scraping and bouncing and rubbing of blood vessels in acute thrombus formation of autogenous arteriovenous fistula is quite simple and relatively safe and has considerable effects.So we emphasize to adopt early intervention measures to prevent the occurrence of vascular occlusion of fistula.更多还原