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慢性腎臟病患者的透析血管通路建立時機及術前評估

Timing of Creation and Pre-Operative Evaluation of Vascular Access for Advanced CKD Patients

摘要


隨著慢性腎臟病的進展,患者有極高的比例會需要接受血液透析治療。在2006年美國KDOQI guidelines建議在慢性腎臟病第四期(eGFR=15 ~ 30 ml/min/1.73m2)或是在未來6個月內預期要開始接受透析時幫患者建立透析用血管通路,而有為數不少的患者在建立動靜脈瘻管於6個月後或甚至1年以上尚未開始透析,或在術後發生充血性心衰竭的情況。如何在適當的時間點為他們做好血管通路的準備,除了現今所遵行的治療導引外,應該考量病患臨床的病情及整體狀況來做最適當的安排。

並列摘要


Patient with chronic kidney disease will need to receive hemodialysis as the renal function deteriorated. According to KDOQI 2006, a patient in Chronic kidney disease stage IV (eGFR 15-30ml/min/1.73m2) is expected to initiate hemodialysis treatment within 6 months. However, some patients receive AVF creation but did not receive hemodialysis 6 months to 1 year after then. Sometimes, they suffered from congestive heart failure after surgery of AVF creation. To seek the best timing for vascular access creation, there are more consideration need to be made.

並列關鍵字

arteriovenous fistula hemodialysis

被引用紀錄


李逸婷、吳培寧、林玉菁(2023)。照護一位老年血液透析患者導管傷口感染之護理經驗長庚護理34(2),111-120。https://doi.org/10.6386/CGN.202306_34(2).0010
蕭亞欣、施妙玲、黃瓊珮、陳香君、黃翠媛(2017)。運用跨團隊模式提升血液透析患者手部握球運動正確率護理雜誌64(3),74-81。https://doi.org/10.6224/JN.000042
蕭妏倩(2016)。血液透析患者動靜脈瘻管栓塞以經皮血管成形術和重建的相關因素探討〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-0508201614524200

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