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Acuseal人工血管与膨胀性聚四氟乙烯人工血管的临床应用比较 被引量:2
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作者 杨轲 何兰兰 王小平 《中国血液净化》 CSCD 2022年第10期770-774,共5页
目的比较Acuseal人工血管与膨胀型聚四氟乙烯(expanded polytetrafluoron artificial vessel,ePTFE)人工血管在维持性血液透析(maintenance hemodialysis,MHD)患者中的应用效果,为临床使用提供参考。方法回顾性分析2019年12月~2020年12... 目的比较Acuseal人工血管与膨胀型聚四氟乙烯(expanded polytetrafluoron artificial vessel,ePTFE)人工血管在维持性血液透析(maintenance hemodialysis,MHD)患者中的应用效果,为临床使用提供参考。方法回顾性分析2019年12月~2020年12月在山东大学中心医院肾内科行人工血管动静脉内瘘(arteriovenous graft,AVG)手术的61例患者,按人工血管类型分为观察组(Acuseal组)及对照组(ePTFE组),通过1年的观察,比较2组患者内瘘首次穿刺时间、中心静脉导管(central venous catheters,CVC)使用、通畅率及并发症。结果观察组与对照组手术时间有统计学差异(U=279.000,P=0.024)。2组首次穿刺时间分别为4(3,6)天、31(30,39)天。2组CVC的留置时间有统计学差异(U=167.000,P<0.001),但2组CVC的使用率无明显差别(χ^(2)=0.000,P=1.000)。观察组与对照组6个月初级通畅率分别为54.5%、66.7%,12个月初级通畅率分别为22.7%、38.5%,组间比较无统计学差异(χ^(2)=0.934,P=0.334;χ^(2)=1.984,P=0.159),2组6个月累积通畅率分别为90.9%、100%,12个月累积通畅率为81.8%、94.9%,组间比较无统计学差异(χ^(2)=3.629,P=0.057:χ^(2)=2.758,P=0.097)。2组患者的手术后并发症比较差异无统计学意义,但是观察组感染后完全移除人工血管。结论Acuseal人工血管允许早期穿刺、具有相似的通畅率,但由于其手术相对困难、感染后整个血管通路的丢弃,反而又增加了CVC的使用,在临床中应该权衡选择。 展开更多
关键词 血液透析 acuseal人工血管 通畅率
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ACUSEAL人工血管内瘘在血液透析患者中早期穿刺及护理 被引量:4
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作者 袁潇 高燕 +2 位作者 章炜 曹莉 葛玉英 《浙江临床医学》 2020年第6期903-904,共2页
目的探索和总结ACUSEAL人工血管动静脉内瘘的早期穿刺使用方法及临床护理要点。方法收集分析2018年10月以来收治的5例患者临床资料,5例患者的穿刺部位均在上臂(肱动脉及上臂静脉)。观察术后前臂肿胀等情况,根据患者治疗需要及前臂肿胀... 目的探索和总结ACUSEAL人工血管动静脉内瘘的早期穿刺使用方法及临床护理要点。方法收集分析2018年10月以来收治的5例患者临床资料,5例患者的穿刺部位均在上臂(肱动脉及上臂静脉)。观察术后前臂肿胀等情况,根据患者治疗需要及前臂肿胀情况决定行人工血管内瘘穿刺的时间,探讨临床护理要点。结果5例患者ACUSEAL人工血管动静脉内瘘均一次性建立成功。术后上臂均未见重度以上肿胀,本组2例患者最早在术后24h开始穿刺使用。其余3例在术后3~5d开始穿刺。结论ACUSEAL人工血管动静脉内瘘给多次失败的血液透析通路和不良的血管解剖结构患者提供了一种较好的治疗选择,ACUSEAL人工血管动静脉内瘘建立后24h内即可穿刺使用,避免了使用中心静脉导管及其后续的并发症,可较为明显提高患者的安全性和医护人员的工作效率。 展开更多
关键词 acuseal人工血管 动静脉内瘘 血液透析
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ACUSEAL即穿型人工血管在上肢血液透析通路中的应用研究
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作者 王国胜 林小缘 +1 位作者 罗庚 郭现辉 《微创医学》 2021年第6期773-777,共5页
目的评估ACUSEAL即穿型人工血管在上肢血液透析通路中应用的安全性及临床效果。方法回顾性分析以人工血管建立上肢人工血管动静脉内瘘(AVG)作为血液透析通路的90例患者的临床资料,根据选择的人工血管类型将患者分为ACUSEAL组(采用ACUSEA... 目的评估ACUSEAL即穿型人工血管在上肢血液透析通路中应用的安全性及临床效果。方法回顾性分析以人工血管建立上肢人工血管动静脉内瘘(AVG)作为血液透析通路的90例患者的临床资料,根据选择的人工血管类型将患者分为ACUSEAL组(采用ACUSEAL即穿型人工血管,n=32)和INTERING组(采用INTERING标准人工血管,n=58)。比较两组患者的术后首次穿刺时间、术后透析血流量;术后随访1年,评价两组的人工血管初级通畅率和次级通畅率,以及人工血管并发症等。结果两组手术技术成功率为100%。ACUSEAL组术后首次穿刺时间明显短于INTERING组(P<0.05)。两组前臂造瘘比例、术后透析血流量、术后随访1年人工血管初级通畅率及次级通畅率比较,差异无统计学意义(均P>0.05)。随访1年时共有22例患者出现AVG失功能,其中因感染导致AVG失功能13例,因血栓形成失功能6例,因假性动脉瘤形成失功能1例,因窃血综合征结扎1例,因人工血管分层导致失功能1例。两组均没有出现手术相关的死亡病例。两组人工血管并发症发生率比较,差异均无统计学意义(均P>0.05)。结论采用ACUSEAL即穿型人工血管进行造瘘可以在早期进行穿刺,通畅率高、并发症少,在血液透析通路中的临床应用效果良好。 展开更多
关键词 acuseal即穿型人工血管 血液透析通路 INTERING标准人工血管
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肱动脉-右心房ACUSEAL人工血管动静脉内瘘闭塞后吻合口残腔建立扣眼穿刺一例 被引量:3
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作者 王春燕 何永春 +3 位作者 蒋华 蔡根莲 仇嘉懿 袁静 《中国实用护理杂志》 2021年第13期1016-1019,共4页
目的探讨ACUSEAL人工血管动静脉内瘘闭塞后无法建立有效血管通路的患者利用吻合口残腔作为长期血管通路维持血液透析治疗的可行性。方法1例罕见的肱动脉-右心房ACUSEAL人工血管动静脉内瘘转流术建立血管通路闭塞后,利用人工血管吻合口... 目的探讨ACUSEAL人工血管动静脉内瘘闭塞后无法建立有效血管通路的患者利用吻合口残腔作为长期血管通路维持血液透析治疗的可行性。方法1例罕见的肱动脉-右心房ACUSEAL人工血管动静脉内瘘转流术建立血管通路闭塞后,利用人工血管吻合口残腔建立扣眼穿刺作为长期血管通路的使用及相应护理方法。结果目前患者ACUSEAL人工血管吻合口残腔穿刺规律透析32个月,钝针穿刺23个月。结论肱动脉-右心房ACUSEAL人工血管动静脉内瘘是一种罕见的血管通路手术,作为患者自体血管资源枯竭的一种新型通路方式疗效并不确定,与传统移植血管手术不同,一旦人工血管血栓形成将导致内瘘闭塞失去功能,通过介入或手术方式再次开通的风险和难度极大,因此闭塞后利用吻合口有限残腔作为长期血管通路以延长人工血管使用寿命是一种具有挑战性同时也是合理的方法。 展开更多
关键词 acuseal人工血管内瘘 闭塞 吻合口残腔 扣眼穿刺
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即穿型人工血管动静脉内瘘的初步应用 被引量:6
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作者 葛玮婧 鲍雪东 +3 位作者 胡婧伊 刘思洁 王世超 施娅雪 《中国血液净化》 CSCD 2019年第9期635-638,共4页
目的总结GORE.ACUSEAL即穿型人工血管动静脉内瘘的初步临床应用结果。方法回顾性分析笔者在2016年12月~2018年9月收治的37例GORE^■ACUSEAL即穿型人工血管动静脉瘘的临床资料,总结其首次穿刺时间、通畅率及并发症的发生率。结果本组男13... 目的总结GORE.ACUSEAL即穿型人工血管动静脉内瘘的初步临床应用结果。方法回顾性分析笔者在2016年12月~2018年9月收治的37例GORE^■ACUSEAL即穿型人工血管动静脉瘘的临床资料,总结其首次穿刺时间、通畅率及并发症的发生率。结果本组男13例,女24例,平均年龄(62.30±10.24)岁,建立上肢即穿型人工血管(arteriovenous graft,AVG)31例,下肢6例。手术成功率100%,无围手术期并发症。术后首次穿刺时间14h^42d,平均穿刺时间(84.26±172.56)h。穿刺相关皮下血肿3例。平均随访时间(299.0±141.3)d,随访率100%,血栓10例,狭窄6例,感染2例,局部皮肤坏死2例,死亡2例,无血清肿、假性动脉瘤、窃血综合征发生。半年及1年初级通畅率分别为65.1%±8.2%和46.9%±10.1%,初级辅助通畅率分别为76.8%±7.2%和69.6%±8.2%,1年次级通畅率为94.6%±3.7%。结论即穿型人工血管术后可立刻穿刺,避免过渡期中心静脉置管,缩短了导管的留置时间,在临床有一定的应用价值。 展开更多
关键词 血管通路 即穿型人工血管 acuseal
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ACUSON128XP/4型彩超电源故障检修1例
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作者 陈日祥 《医疗设备信息》 2004年第3期78-78,共1页
关键词 ACUS0N 128XP/4型彩超 电源 故障 检查 维修
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Inhibiting Effects of S.acus Linnaeus Extracts on GLT-82 Tumor Cell Lines
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作者 Li Chun-xiang Zhu Shun-ying +3 位作者 Bian Hong-rong Ju Xing-song Zhu Xiao-mei Zou Guo-lin 《Wuhan University Journal of Natural Sciences》 CAS 2002年第4期502-506,共5页
HailongS. acus Linnaeus was chosen as the experimental material in the experiments and changes of cell morphology, forming rate of clone and changes of division index were conducted to identify the inhibiting effects ... HailongS. acus Linnaeus was chosen as the experimental material in the experiments and changes of cell morphology, forming rate of clone and changes of division index were conducted to identify the inhibiting effects of Hailong extract on human tumor cell lines (GLT-82). Four days after medication, most of the cells changed their normal morphology of tumor cells and became round, broken and even broke into pieces. The inhibiting rates could reach 75.1% on the fourth day. The division index reduced strongly and the clone could not form or the forming rate was very low. With the extract concentration increasing and the time prolonging, the inhibiting effect increased. These results indicate that Hailong has striking anti-tumor effects and will have a perfect future in the fields of treatment and prevention of cancer. 展开更多
关键词 S. acus Linnaeus extract GLT-82 inhibiting effects
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Toxicity of copper on marine organisms from the Black Sea
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作者 Levent Bat Sabri Bilgin Aysah Oztekin 《Journal of Coastal Life Medicine》 CAS 2017年第10期422-426,共5页
Objective: To investigate the effect of copper on Crangon crangon (Linnaeus, 1758) (C. crangon) and Syngnathus acus (Linnaeus, 1758) (S. acus) from Black Sea. Methods: The acute toxicity of copper in water with clean ... Objective: To investigate the effect of copper on Crangon crangon (Linnaeus, 1758) (C. crangon) and Syngnathus acus (Linnaeus, 1758) (S. acus) from Black Sea. Methods: The acute toxicity of copper in water with clean sediment to C. crangon and S. acus from Sinop Peninsula of the Black Sea was evaluated by static 10-day and 21-day bioassays. Results: Mortality of both organisms increased with increase in concentrations of copper. The results showed that S. acus was more sensitive to copper than C. crangon. Conclusions: In the present study, both C. crangon and S. acus have been shown to be a suitable test species to assess heavy metal toxicity using static 21-day and 10-day bioassays. 展开更多
关键词 Crangon crangon SYNGNATHUS acus BLACK Sea COPPER BIOASSAY TOXIC
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Parasitic infections in the Mediterranean needlefish Tylosurus acus imperialis(Teleostei:Belonidae)off Tunisian coast
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作者 Manel Châari Lassâd Neifar 《Journal of Coastal Life Medicine》 2015年第9期673-676,共4页
Objective:To provide a current survey of parasitic infections in the Mediterranean needlefish Tylosurus acus imperialis(T.acus imperialis).The impact of host’s size and sex on some characteristics of the infection wa... Objective:To provide a current survey of parasitic infections in the Mediterranean needlefish Tylosurus acus imperialis(T.acus imperialis).The impact of host’s size and sex on some characteristics of the infection was also examined.Methods:Between 2004 and 2009,126 specimens of T.acus imperialis were necropsied to study their parasites.Results:Fifteen species of metazoan parasites were collected including 3 monogeneans(Aspinatrium gallieni,Nudaciraxine imperium and Axinoides sp.),4 digeneans(Lecithostaphylus tylosuri,Tetrochetus coryphaenae,Oesophagotrema mediterranea and Sclerodistomoides pacificus),1 cestode(Ptychobothrium sp.),3 copepods(Lernanthropus tylosuri,Caligodes laciniatus and Caligus sp.),1 isopod(Irona nana),1 acanthocephalan(Rhadinorhynchus sp.),1 nematode(anisakid larvae)and 1 annelid(piscicolid).Cestoda Ptychobothrium sp.was the most frequent species(72%).Prevalence and abundance of infection with Ptychobothrium sp.and Rhadinorhynchus sp.were positively correlated with the total length of the host.Host’s sex did not seem to affect the infection parameters of parasites in T.acus imperialis.Conclusions:This study provides first information on parasitic infections in the Mediterranean needlefish T.acus imperialis off Tunisia.Parasites can be used to understand phylogeny,biology and ecology of fish host and also as bioindicators of water quality. 展开更多
关键词 Tylosurus acus imperialis Belonidae Parasites INFECTION BIOINDICATORS Tunisia Mediterranean Sea
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Preliminary observations on the feeding habits of the Mediterranean needlefish Tylosurus acus imperialis(Teleostei:Belonidae)
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作者 Manel Châari Lobna Boudaya Lassâd Neifar 《Journal of Coastal Life Medicine》 2016年第6期426-429,共4页
Objective:To present the first information on the feeding habits of the Mediterranean needlefish Tylosurus acus imperialis(T.a.imperialis)of Tunisia and to examine the diet variation in relation to the fish size,matur... Objective:To present the first information on the feeding habits of the Mediterranean needlefish Tylosurus acus imperialis(T.a.imperialis)of Tunisia and to examine the diet variation in relation to the fish size,maturity and sex.Methods:Gut contents of 92 specimens of T.a.imperialis,collected mainly from May 2004 to July 2006 off the Gulf of Gabès,Southeastern Tunisian coast,were analyzed.Results:The results showed that 55.4%of them had empty guts and 44.6%contained food in their guts.The emptiness index did not vary significantly according to size classes or sexes of T.a.imperialis.Basic food consisted of teleosts(Mugilidae,Gobidae and Belonidae)(59.63%)followed by crustaceans(40.24%),mostly decapods Sycionia carinata(5.42%).A decrease in the feeding rate at the peak of the spawning season was observed for both sexes.A diet variation among juvenile and adult specimens of T.a.imperialis was found.Conclusions:This study enhances our knowledge on the biology of the Mediterranean needlefish T.a.imperialis.This fish is an active predator and an opportunistic feeder but the feeding rate declines at the peak of the spawning season. 展开更多
关键词 DIET Needlefish Belonidae Tylosurus acus imperialis Tunisia Mediterranean sea
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