在沙特人口中影响单对多个道化血液透析导管袖口挤出的病因因素
Hammad Raza1, Muhammad Nauman Hashmi2, Muhammad A Khan3,4,5
1Nephrology, South Hemodialysis Center, National Guard Health Affairs, Riyadh, SAU.
Cureus
|February 26, 2024
概括
道化血液透析导管袖口挤出是常见的. 导管相关的血液感染,高血压和年龄 (61-95岁) 增加了多次袖口挤出发作的风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管接入 血管接入
- 传染性疾病 传染性疾病
背景情况:
- 道化血液透析导管对于长期的脏替代疗法至关重要.
- 袖口挤出是已知的并发症,可能导致访问功能障碍和感染.
- 确定复发的袖口挤出风险因素对于患者管理至关重要.
研究的目的:
- 调查与单个和多个道化血液透析导管袖口排出的相关因素.
- 为了确定与反复发生的袖口挤出事件相关的并发症.
主要方法:
- 一个多中心的,五年回顾性分析用道导管的血液透析患者.
- 收集的数据包括患者人口统计,并发症,手术类型和感染状况.
- 患者根据单次或多次袖口挤出事件进行了分类.
主要成果:
- 对122名患者的分析显示,59人经历了多次袖口挤出.
- 与导管相关的血流感染 (CRBSI),高血压和晚年 (61-95岁) 与多重挤出有显著联系.
- 出口部位感染,糖尿病,抗血小板治疗,性别,导管部位和BMI没有显示统计学意义.
结论:
- 道导管袖口挤出在血液透析患者中经常发生.
- 慢性心血管梗塞,高血压和年龄较大被确定为多次袖口挤出事件的重要危险因素.
- 这些发现有助于对血液透析导管并发症的风险分层和管理.
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