ISCHEMIC NEUROPATHY IN UREMIC PATIENTS CAUSED BY BOVINE ARTERIOVENOUS SHUNT
ISCHEMIC NEUROPATHY IN UREMIC PATIENTS CAUSED BY BOVINE ARTERIOVENOUS SHUNT
复制标题
DOI：
10.1136/jnnp.42.9.810
复制
发表时间：
1979-01-01
影响因子：
11
通讯作者：
LINDSAY, RM
中科院分区：
文献类型：
--
作者：
BOLTON, CF;DRIEDGER, AA;LINDSAY, RM
在上臂桡动脉和头静脉之间插入牛分流管，用于慢性血液透析期间的通路，导致2例患者发生远端缺血性神经病变。在严重缺血的患者中，有运动和感觉神经纤维轴突变性的电生理体征，而在轻度缺血的患者中，只有感觉纤维轴突变性。使用133氚的鱼际肌血流研究是改变组织灌注的有用措施。两例患者的恢复均不完全，尽管在严重病例中对移植物进行了绑扎并改善了组织灌注。
A bovine shunt, inserted between the radial artery and cephalic vein in the upper arm for access during chronic hemodialysis, caused a distal, ischemic neuropathy in 2 patients. There were electrophysiological signs of axonal degeneration of motor and sensory nerve fibers in the patient with severe ischemia, and, of only sensory fibers in the patient with mild ischemia. Thenar muscle blood flow studies using 133Xe were a useful measure of altered tissue perfusion. Recovery was incomplete in both cases, despite banding of the graft and improved tissue perfusion in the severe case.