刘鹏透析用血液通路的建立策略.ppt

血液通路在 下肢 人工血管动静脉造瘘及并发症处理.m4v PAVG 的通畅率 Antoniou GA, Lazarides MK, Georgiadis et al.Lower-extremity arteriovenous access for haemodialysis: a systemic review. Eur J Vasc Endovasc Surg.2009 38(3):365-372 Akoh JA. Prothetic arteriovenous grafts for hemodialysis. J Vasc Access.2009(10)3:137-147 选择病人 精湛的血管外科技术:选择适合的血管,精确的血管吻合 术后管理:评估,监测,病人教育 通路管理:关心,穿刺技术 及时发现和处理发生的并发症 优秀的产品: 人工血管通路成功 永久血管通路比较 AVF 成熟缓慢或无法成熟,40%AVF无法成熟,成熟期平均2-4月 穿刺比较困难 随着年龄增加,口径增加 动脉瘤的机率增加 影响外观 人造血管瘘 手术范围大 感染的风险 通畅率的问题:血拴和吻合口的狭窄 寿命 人工血管VS置管 人工血管 感染发生的几率较小，通常来源于穿刺点 栓塞,介入或外科手术直接治疗,最严重可以换血管 置管 发生机率大，15-60%的置管会发生感染,在透析过程中发生,比较严重 栓塞,后果严重,栓子可以直接进入右心房,造成肺栓塞 总结 谢谢！ Play the slide show for this presentation to listen to the audio commentary by Peter Walsh and view slide timings. Or, click the sound icon on a slide for controls that you can use to hear the audio at your own pace. A little organization will go a long way to enhancing your PowerPoint presentation. Your title slide should be catching and relevant to your audience – offer something in the title that your audience wants. Keep some basic principles in mind: Your slides should complement what you have to say, not say it for you. Keep slides direct and to the point - less is more! Choose a background color or design that enhances and complements your presentation rather than competes with it. Don’t get too fancy - a simple font, elegant color scheme and clear message is more important than lots of information (clutter!) on the slide. Keep it simple! The purpose of the PowerPoint slide is to keep the mind of your audience focused – fewer words are better. Note: You understand that Microsoft does not endorse or control the content provided in the following presentation. * * * * * * * * If you’re presenting to an audience, the final slide should include: Your contact information. Publications relevant to your presentation and of interest to the audience. Other relevant information for the audience to follow up if interested. Keep this slide on