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KMID : 0378119850120020391
Chungnam Medical Journal
1985 Volume.12 No. 2 p.391 ~ p.395
A Clinical Investigation of Shunt Operation in Hemodialysis


Abstract
Shunt operation for hemodialysis is the mainstem in the treatment of acute and/or chronic renal failure. This study was aimed to investigate the results of the each type of shunt operations in 44 Patients from January, 1982, to September, 1985, with the review of the literatures
The results were summerized as followings:
1. Of the 44 patients, male to female ratio was 1.3 : 1 and 50% of the patients were distributed from 4th decades to 6th decades.
2. The cases of the external and internal shunt were 35 cases in each(total; 70 cases). And 27 cases were recieved one time of operation(61.4%), two time operations were 11 cases(25.0%),three times were 4 cases(9.1%), four times and five times were 1 case in each(2.3%).
3. The complication rates were 38.6%(27 cases) in total cases, 48.6%(17 cases) in external shunt and 28.6%(10 cases) in internal shunt.
4. The most common complication was obstruction(20.0%) in total cases of shunt operation and in external shunt(34.3%), and malfunction in internal shunt(22.9%).
5. The types of operations in internal shunt operation were Side-Side(20 cases; 57.0%), End-Side(9 cases: 26.0%), and End-End(6 Cases; 16,0%), and the most common complication in internal shunt was malfunction(6 cases).
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