The patient, Xiaoyu (pseudonym), 36 years old, suffered from membranous nephropathy for 7 years, was recently admitted to the hospital for "edema and fatigue of both lower limbs", and was diagnosed with chronic renal failure (uremia stage) after further diagnosis and treatment and examination in Zhouzhi County People's Hospital. In order to improve the quality of life of the patient, Bai Shi, director of the hemodialysis unit, and Zhang Peng, the attending physician, comprehensively analyzed the patient's condition and recommended "arteriovenous fistuloplasty" for the patient. The radial artery diameter of the left upper limb was 2.2m, Vmax=80cm/s, ulnar artery was 2.3m, Vmax=80cm/s, the intima was smooth, the blood flow of the left subclavian artery, axillary artery and brachial artery was normal, and the peak flow velocity was normal, which was suitable for "arteriovenous fistuloplasty".
On the afternoon of March 29, the surgical team successfully carried out "arteriovenous fistuloplasty" in the patient's left upper limb, the operation process was only more than 1 hour, the patient had good tolerance, the patient's internal fistula tremor, vascular bruit was obvious, and the wound did not ooze blood and swelling, successfully opening up the "lifeline" of maintaining hemodialysis.
Specialty features: The hemodialysis unit of Zhouzhi County People's Hospital was established in March 2016 and is currently the only hemodialysis unit of a public hospital in Zhouzhi County, which undertakes the diagnosis and treatment of kidney diseases for more than 600,000 people in Zhouzhi County, as well as the hemodialysis of uremia patients in Zhouzhi County. In the past few years, there have been more than 10,000 dialysis patients. The department currently carries out maintenance hemodialysis, hemofiltration, hemodiafiltration, and hemoperfusion therapy. In addition, continuous bedside renal replacement therapy (CRRT), arteriovenous fistuloplasty, central venous catheterization and other techniques can be carried out.
Central venous temporary catheterization, central venous long-term catheterization, and autologous arteriovenous fistuloplasty provide vascular access guarantee for hemodialysis patients and provide favorable conditions for timely hemodialysis treatment; Poisoning by bee venom and other poisons, especially hemorrhagic fever and other multi-organ failure, the survival rate of patients with multiple organ failure.
Medical science - arteriovenous fistula
Arteriovenous fistuloplasty is a minor procedure for vascular anastomosis. The artery near the wrist of the forearm and the adjacent vein are sutured, so that the arterial blood flows in the anastomosed vein, forming an arteriovenous fistula, which can provide sufficient blood for hemodialysis treatment and is the "lifeline" of hemodialysis patients. (Contributed by: Zhouzhi County People's Hospital)
Editor-in-charge: Yang Yang
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