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一个末期病病例与半面部胀
Shubham Dubey1, Pranjal Kashiv1, Kapil Sejpal1
1Department of Nephrology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|August 24, 2023
概括
一个罕见的面部和上肢胀的案例在一个血液透析患者是由于脑静脉狭窄引起的. 气球血管整形成功恢复了血液流动,解决了胀.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
背景情况:
- 在维护血液透析的末期病患者 (ESRD) 往往会出现血管接入并发症.
- 脸部,部和上肢的胀可能表明静脉外流阻塞.
研究的目的:
- 在ESRD患者中报告一种罕见的臂脑静脉狭窄病例,表现为单侧上肢和面部胀.
- 突出CT静脉造影的诊断实用性和气球血管整形在治疗这种病例中的有效性.
主要方法:
- 一名64岁的男性患有ESRD进行血液透析,出现了两个月的左侧胀.
- 身体检查显示了扩张的附带静脉. 计算机断层扫描 (CT) 静脉图识别了左臂脑静脉和头脑静脉狭窄.
- 成功的气球血管整形手术在狭窄的细节上进行.
主要成果:
- CT静脉扫描显示左臂脑静脉和头脑静脉显著缩小,并形成了广泛的附带动脉.
- 血管形成术后,血液流量良好,没有残留狭窄症.
- 患者的胀在干预后消失了.
结论:
- 臂脑静脉狭窄可以在血液透析患者中呈现异常,即使没有中央静脉导管史.
- CT静脉图像对于诊断静脉狭窄和规划干预措施至关重要.
- 气球血管造形术是对脑静脉狭窄的有效治疗方法,改善了血液透析的准入和缓解症状.
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