ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG NGƯỜI BỆNH BỆNH THẬN MẠN GIAI ĐOẠN CUỐI CÓ CHỈ ĐỊNH LÀM ĐƯỜNG VÀO MẠCH MÁU TỰ THÂN CHỦ ĐỘNG TẠI TRUNG TÂM THẬN TIẾT NIỆU VÀ LỌC MÁU BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe the clinical, paraclinical characteristics of patients with end-stage chronic kidney disease who are indicated for initiative arteriovenous fistula. Subjects and methods: The study was conducted on 135 cases of patients who for initiative arteriovenous fistula surgery at the Nephrology and Hemodialysis center of Bach Mai hospital from August 2023 to August 2024 based on record search and direct information collection based on sample medical records. Results: The average age was 53.9 ± 1.43 with approximately equal male and female ratios. Anemia is the most common clinical sign in patients with chronic renal failure (accounting for 78.4%), followed by edema (accounting for 71.1%). More than 70% of patients are detected with late stage 5 disease with low eGFR 7.41±3.50 ml/min/1.73m2, ultrasound has 79.9% of kidney atrophy or hyperechoic images.