RESUMEN
The results of 100 radiocephalic arteriovenous fistulae formed in 85 patients to provide access for haemodialysis have been assessed. First fistulae had an immediate patency of 90.5% and a patency predicted by life table analysis of 78% at 1 year. An additional 15 fistulae were formed after initial failure in 13 patients, and the predicted patency for all fistulae was 76% at 1 year and 73% at 2 years, with no subsequent failures during the period of the study. Access was established and maintained in 77 patients (90.6%) using the first or a subsequent radiocephalic fistula, and the requirement for other access procedures was low. There was a significantly higher incidence of early and late fistula failure in those patients who were cigarette smokers.
Asunto(s)
Derivación Arteriovenosa Quirúrgica , Falla de Equipo , Fallo Renal Crónico/terapia , Fumar , Adolescente , Adulto , Anciano , Creatinina/sangre , Deshidratación , Femenino , Humanos , Fallo Renal Crónico/etiología , Masculino , Persona de Mediana Edad , Diálisis Renal , Factores de TiempoRESUMEN
Four patients with transection of the pancreas by blunt trauma are reported. All were treated by distal pancreatectomy and splenectomy. The three patients who survived were free from exocrine or endocrine deficiency at the time of discharge from hospital. One patient, whose transection was missed at the initial laparotomy, was operated upon later when in renal failure, and died from sepsis. Distal pancreatectomy with splenectomy seems the appropriate because other operations have high complication rates, and extirpation of the distal pancreas is not debilitating.
