在血液透析患者中治愈耐药性低血压
Prajjwol D Bhatta1, Stephen Silver2,1
1Internal Medicine, Rochester Regional Health, Rochester, USA.
Cureus
|August 17, 2023
概括
高流动的动脉静脉 (AVF) 在一个血液透析患者中引起心力衰竭. 绑定解决了低血压,和呼吸短促,改善了心血管状况.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 血管外科 血管外科
背景情况:
- 在血液透析的末期病 (ESRD) 患者经常出现心血管并发症.
- 动脉静脉 (AVF) 对于血液透析的准入至关重要,但可能导致高输出心力衰竭.
研究的目的:
- 在ESRD患者中,以高流动AVF为次要的高输出心力衰竭为例.
- 研究AVF流在心血管并发症中的作用.
- 评估AVF绑定在治疗耐火性低血压和心力衰竭方面的有效性.
主要方法:
- 一个67岁的男性患有ESRD在血液透析上的病例报告.
- 右心脏导管以评估血液动力学.
- 双重超声波测量AVF的血液流动.
- 绑定AVF并放置一个道化血液透析导管.
主要成果:
- 患者出现了经常性跌倒,体位低血压和严重的.
- 右心脏导管检查显示双心室填充压力升高,全身血管阻力低,肺高血压.
- 测量AVF血流量为5.6L/分钟.
- 在AVF绑定后,患者耐受了液体除去,低血压得到缓解,胀/呼吸短促明显改善.
结论:
- 在ESRD患者中,高流量AVF可以引起显著的心血管并发症,包括高输出心力衰竭.
- 在特定情况下,AVF绑定可以作为耐阻性低血压和心力衰竭的有效治疗方法.
- 这一案例强调了考虑AVF血液动力学在患有不明原因心血管问题的患者的重要性.
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