在血液透析患者的内动脉结症
Feda Fanadka1, Ilan Rozenberg2,3, Naomi Nacasch2,3
1Department of Radiology, Meir Medical Center, Kfar Saba 4428164, Israel.
Medicina (Kaunas, Lithuania)
|October 28, 2023
概括
内动脉结 (ICAC) 在维持血液透析 (MHD) 患者中非常普遍. 增加的ICAC分数可以独立预测死亡率,这表明它们在这个人群的风险分层中有用.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 血管化是动脉样硬化的关键特征,也是心血管疾病的危险因素.
- 内动脉结 (ICAC) 在接受维持血液透析 (MHD) 的患者中很常见.
研究的目的:
- 评估ICAC在MHD患者中的预测因素和结果.
- 为了比较ICAC在MHD患者和正常功能控制组之间的患病率和严重程度.
主要方法:
- 追溯性研究设计.
- 神经放射学家使用计算机断层扫描对ICAC进行盲目评估.
- 140名MHD患者与140名年龄和性别匹配的对照进行了比较.
主要成果:
- 与对照组 (1.4 ± 0.2) 相比,MHD患者的ICAC平均得分 (2.3 ± 0.2) 显著高于对照组 (1.4 ± 0.2).
- 超过90%的MHD患者表现出一定程度的ICAC.
- 较低的白蛋白,较高的和较高的CRP水平与增加的ICAC相关.
- 较高的ICAC分数与1年死亡风险增加有关.
结论:
- 在MHD患者中,ICAC涉及复杂的炎症和血管过程,而不仅仅是被动化.
- ICAC是MHD患者全因死亡率的独立预测指标.
- ICAC可以帮助对MHD患者的风险分层.
相关概念视频
Hemodialysis II: Procedure and Complications
27
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
27
Hemodialysis I: Introduction
36
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
36
Hemodialysis III: Nursing Management
25
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
25
Acute Kidney Injury IV: Diagnostic Studies and Prevention
19
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
19
Chronic Kidney Disease III: Interprofessional Care
21
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
21
Imaging Studies VII: Vascular Imaging
14
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
14


