The old lady of uremia is trapped in dialysis.
Author:Hunan Medical Chat Time:2022.09.27
Recently, Yiyang Central Hospital's vascular surgery, kidney transplantation department, OPO (organ acquisition tissue), blood purification department, anesthesiology and other discipline collaborations, successfully completed the first case in Hunan Province, the transplantation of an internal fistula in the transplantation of the migrant intravenous fistula in Hunan Province Formed, hemodialysis pathways were successfully established for a patient with scarcity of vascular resources.
Ms. Wang, who is nearly seventy years old, is a patient with chronic renal insufficiency and end -stage uremia. She needs to maintain her life. Establishing a life channel for patients' hemodialysis is particularly important.
Director Guo Zhengke, Director of the Department of Hemitudential Division, took a detailed assessment of his blood vessel condition, and found that his upper and lower limbs have a small venous vein, and he could not perform an autologous intravenous fistula into shape. Pipe dialysis has increased the difficulty of hemodialysis.
Director Ding Shouning of the Kidney Movement and Director Xiong Jianming, a vascular surgery, was comprehensively evaluated and believed that it was feasible to feasible in intravascular fistula in the migration vein of the same type of album.
The two physicians of Yangtie and Zhuang Quanhui of the kidney transplantation department obtained the femoral artery from the donor's body, and passed the "de -antigen" treatment, which can be used for such transplant surgery.
The picture shows the same kind of album blood vessels
The picture shows the design of pre -surgery schemes
As the first type of poseogenesis in Hunan Province in Hunan Province, the internal fistula of intravenous fistulas in the vein of migration, the leaders of the hospital attach great importance to it. Deputy Dean of Zhou Jianjun and Deputy Minister Xu Bin of the Medical Department came to guide, organizing blood purification department, kidney transplantation department, OPO, vascular surgery, and vascular surgery And MDT multidisciplinary consultations such as anesthesiology, evaluate the necessity and feasibility of surgery in detail, and formulate specific surgical solutions. In the end, Ms. Wang successfully implemented the internal fistula of the migration vein of the same type of heterogeneous vascular transplantation. The postoperative effect was good.
This is also another multi -disciplinary cooperation after the establishment of the "Transplantation and Nephrology Center", filling the gap of this medical technology in Yiyang.
Pictured during the operation
A good blood pathway is the key to ensuring that the long -term smooth development of hemodialysis. The internal fistula of the trap can provide sufficient blood for hemodialysis therapy and provide a guarantee for the adequateness of dialysis treatment. It is the "life path" of patients with hemodialysis. A new choice for the heterogeneous blood vessels provides a new choice for dynamic vein.
(Edit ZS.)
Hunan Medical Chat Special Author: Yiyang Central Hospital Vascular Surgery Nephrology Department Ye Lin
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