中枢静脉狭窄 - - 患病率,临床特征,结果及其对透析接入的影响
K Sai Sindhu Singh1, Yerramachu Dharanidhar Reddy2, Manoj Kumar2
1Department of Nephrology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. sindhusingh26@gmail.com.
概括
中枢静脉狭窄 (CVS) 影响13.1%的血液透析患者,导致手臂胀等进入问题. 这些干预措施长期取得的成功有限,超过一半的干预措施需要终止访问.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 中枢静脉狭窄 (CVS) 是慢性血液透析患者的一个重要并发症.
- 它导致血管接入功能障碍,透析效率降低,以及手臂胀和静脉高血压等症状.
研究的目的:
- 为了确定血液透析患者中CVS的患病率,临床表现和治疗结果.
- 分析CVS对血管通道长寿和患者结局的影响.
主要方法:
- 印度南部152名维持血液透析患者的前性观察性研究.
- 用于检测CVS的CT静脉扫描;收集的人口统计数据,并发病,接入类型,狭窄位置,症状,治疗和结果.
主要成果:
- CVS的患病率为13.1% (20/152名患者).
- 手臂胀 (47%) 和脸部胀 (29%) 是常见的症状;脑静脉 (65%) 是最常见的狭窄部位.
- 血管整形成功率为66%,六个月通透率为44.4%; 55%的血管通道被终止.
结论:
- 血清透析是影响血液透析血管接入的常见并发症.
- 治疗结果,特别是血管塑造术后的长期透性,仍然低于最佳水平.
- 血管接入终止的高率需要在受影响的患者中选择透析接入的替代策略.
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