由透析 катетеризация引起的阴道静脉穿孔:一个案例报告
1Department of Vascular Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China.
JPMA. The Journal of the Pakistan Medical Association
|February 25, 2026
概括
血液透析导管的罕见并发症,右常见阴静脉穿孔,导致大规模的逆皮质血瘤和出血性休克. 这一案例凸显了末期功能衰竭患者中中央静脉导管治疗期间严重血管损伤的可能性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 中枢静脉导管治疗对于末期功能衰竭的血液透析至关重要.
- 血管破裂和出血等并发症可能发生,造成重大风险.
- 阴道静脉穿孔是血液透析导管的未经证实的并发症.
研究的目的:
- 报告在血液透析 катетеризация期间发生的右常见阴道静脉穿孔的独特病例.
- 为了描述由此产生的大规模的前腺血瘤和出血性休克.
- 强调严重血管损伤和管理挑战的潜力.
主要方法:
- 案例报告的呈现方式.
- 对临床表现,诊断成像和管理的审查.
- 讨论病因学和潜在的预防策略.
主要成果:
- 一名患者经历了血液透析导管的右常 iliac 静脉穿孔.
- 这导致了一个大型的前腺血瘤扩展到psoas肌肉.
- 患者出现了危及生命的出血性休克.
结论:
- 阴道静脉穿孔是血液透析导管的罕见但关键并发症.
- 及时识别和管理对于患者的生存至关重要.
- 这一案例强调了在中央静脉接入过程中细致的技术和警的重要性.
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