患有末期脏疾病的患者的远端低输血缺血综合征
Vivie Tran1, Diego Olavarria-Bernal1, Ana Cordón1
1Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Cureus
|December 23, 2024
概括
远端低 perfusion 缺血综合征 (DHIS),是血液透析接入的并发症,可以导致严重的手缺血. 早期识别和干预,包括AVF绑定,对于受影响患者的症状改善至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 医疗并发症 医疗并发症
背景情况:
- 透析接入窃取综合征 (DASS) 或远端低 perfusion 缺血综合征 (DHIS) 是使用动脉静脉 (AVF) 的末期病 (ESRD) 患者的罕见并发症.
- 患有先前存在的疾病,如外周动脉疾病的患者有更高的风险.
- 在受影响的肢体中,DHIS可能导致严重的缺血症状.
研究的目的:
- 报告一个患有基基础性AVF的患者的DHIS病例.
- 要突出诊断挑战和DHIS的管理策略.
- 强调在管理复杂的ESRD患者时采用多学科方法的重要性.
主要方法:
- 病例报告是一名40多岁的女性患者,患有多种并发症.
- 布拉基基AVF的放置用于血液透析接入.
- 持续性缺血症状的管理,包括AVF的手术绑定.
主要成果:
- 患者出现了显著的缺血症状,包括手部亡,AVF后安置.
- 对AVF的手术绑定导致缺血症状明显改善.
- 该案例强调了DHIS的潜在严重性和手术干预的有效性.
结论:
- DHIS是一种严重的并发症,需要及时诊断和管理.
- 手术绑定AVF可以有效地解决DHIS症状.
- 多学科护理和标准化查协议对于高风险的ESRD患者具有AVF至关重要.
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